Code: L4396

Description:
Description: Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BOOT PODUS STATIC AFL
BOOT MULTIPODUS X-LGE
ORTHOSIS ANK/FT STATIC
Yb Afo Static/dynamic Prefab
Ankle Contracture Splint
HC STAT ANK FT ORTHOS W/SFT INTERFCE MATL ADJ FIT
PRAFO
SPLNT ANK REG AIR GEL
BOOT SOF CARE HEEL LG LONG
Related codes:
Code: L4392
Description: Replacement, soft interface material, static afo
HCPCS Category: Orthotic/prosthetic procedures
Code: L4394
ORTHO REPLAC SOFT INTFCE
Code: L4397
SPLINT FOOT MPO2000 LRG
Code: L4398
BRACE ORTHO RT ANKL 4
State Average # Hospitals In Database
Minnesota (MN) $4 14
Vermont (VT) $109 1
Missouri (MO) $123 5
Hawaii (HI) $125 4
Wisconsin (WI) $125 8
District of Columbia (DC) $168 1
Kansas (KS) $168 5
Massachusetts (MA) $178 17
Connecticut (CT) $188 3
Iowa (IA) $189 3
Michigan (MI) $210 3
North Dakota (ND) $217 2
Nebraska (NE) $245 11
Maine (ME) $264 4
Pennsylvania (PA) $269 10
New Hampshire (NH) $277 2
New Mexico (NM) $278 1
Oklahoma (OK) $280 3
Kentucky (KY) $283 3
Alabama (AL) $292 11
West Virginia (WV) $301 6
New York (NY) $308 3
Colorado (CO) $330 2
Illinois (IL) $338 8
Washington (WA) $343 2
Tennessee (TN) $347 2
Arkansas (AR) $347 2
Georgia (GA) $363 6
Maryland (MD) $370 6
Utah (UT) $397 1
New Jersey (NJ) $397 2
Virginia (VA) $397 5
Delaware (DE) $397 1
Louisiana (LA) $397 1
Rhode Island (RI) $408 2
Arizona (AZ) $471 5
North Carolina (NC) $483 19
Nevada (NV) $489 10
California (CA) $531 27
Texas (TX) $577 59
Florida (FL) $691 51
Ohio (OH) $826 3
Indiana (IN) $876 20
South Carolina (SC) $1,823 7
Idaho (ID) $1,941 2
Alaska (AK) $7,714 2

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.