Code: L4392

Description:
Description: Replacement, soft interface material, static afo
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
REPLACE AFO SOFT INTERFACE
HANA TABLE BOOT LINER
Related codes:
Code: L4394
ORTHO REPLAC SOFT INTFCE
Code: L4396
BOOT MULTI PODUS CUSTOM
Code: L4397
SPLINT FOOT MPO2000 LRG
Code: L4398
BRACE ORTHO RT ANKL 4
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook L4392 $27 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L4392 $36 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L4392 $48 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L4392 $49 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L4392 $49 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L4392 $49 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, L4392 $50 [source] 4 years ago
Van Matre Encompass Health Rehabilitation Hospital 950 S Mulford Rd, Rockford L4392 $78 [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.