Code: L4387

Description:
Description: Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE ANKLIZER 2 6-9 YR
BOOT NO AIR SML WIDE
BOOT NO AIR XLRG WIDE
BOOT NO AIR XSML WIDE
IMMOBLZR BOOT W/AIR LRG
IMMOBLZR BOOT W/AIRE XS
SUPPLY 274 W HCPCS L4387
Related codes:
Code: L4380
PNEUMATIC KNEE SPLINT
Code: L4386
BRACE WLK SM 4-8X3-8IN
State Average # Hospitals In Database
Minnesota (MN) $39 13
New York (NY) $165 3
South Dakota (SD) $181 1
Oklahoma (OK) $191 3
Wisconsin (WI) $209 10
Ohio (OH) $223 1
North Carolina (NC) $228 20
West Virginia (WV) $238 4
Utah (UT) $240 2
Louisiana (LA) $245 3
Michigan (MI) $247 120
New Mexico (NM) $263 1
Pennsylvania (PA) $278 9
Missouri (MO) $280 4
Massachusetts (MA) $292 4
Nevada (NV) $298 4
Texas (TX) $301 54
Maryland (MD) $303 1
Colorado (CO) $312 2
Tennessee (TN) $328 2
Arkansas (AR) $328 2
South Carolina (SC) $338 5
Alabama (AL) $344 7
Kentucky (KY) $344 5
Kansas (KS) $362 7
New Jersey (NJ) $375 2
Virginia (VA) $375 5
New Hampshire (NH) $375 1
Delaware (DE) $375 1
Florida (FL) $441 71
Arizona (AZ) $446 5
Illinois (IL) $446 1
Georgia (GA) $643 12
Indiana (IN) $784 22
Idaho (ID) $1,191 3
California (CA) $1,225 6

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.