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
New York
Hospital Address Code Price Last Updated
Albany Medical Center - Lab Services 43 New Scotland Ave, Albany L4387 $155 [source] 4 years ago
Strong Memorial Hospital 601 Elmwood Ave, Rochester L4387 $171 [source] 4 years ago
Highland Hospital 1000 South Avenue, Rochester L4387 $171 [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.