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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan L4387 $106 [source] 4 years ago
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita L4387 $128 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg L4387 $128 [source] 4 years ago
Midamerica Rehabilitation Hospital 5701 W 110Th St, Shawnee Mission L4387 $328 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa L4387 $460 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission L4387 $693 [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.