Code: L1907

Description:
Description: Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC AFO SUPRAMALLEOLAR W/STRAPS CUSTOM FABRICATED
ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM
AFO, SUPRAMALLEOLAR /C STRAPS CUSTOM
AFO SUPRAMALLEOLAR CUSTOM TIER 001
AFO SUPRAMALLEOLAR CUSTOM TIER 002
AFO SUPRAMALLEOLAR CUSTOM TIER 003
Related codes:
Code: L1900
Description: Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L1901
ANK ORTHOTIC ELASTIC PREFAB INCLUDES FIT & ADJ
Code: L1902
BRACE LG ANKL DRBLE
Code: L1904
Description: Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L1906
BRACE ANKLE RT AIRCAST
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L1907 $443 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L1907 $443 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L1907 $443 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L1907 $443 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L1907 $443 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L1907 $443 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L1907 $443 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L1907 $443 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L1907 $443 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L1907 $443 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L1907 $443 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L1907 $443 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L1907 $653 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Western Massachusetts 222 State St, Ludlow L1907 $798 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L1907 $870 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L1907 $1,677 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.