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
California
Hospital Address Code Price Last Updated
Temecula Valley Hospital 31700 Temecula Parkway, Temecula L4396 $255 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale L4396 $266 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L4396 $325 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L4396 $325 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L4396 $325 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L4396 $325 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L4396 $325 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L4396 $325 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L4396 $325 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L4396 $325 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L4396 $325 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L4396 $325 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L4396 $325 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L4396 $325 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L4396 $325 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L4396 $325 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L4396 $325 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L4396 $325 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L4396 $325 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L4396 $325 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L4396 $325 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Bakersfield 5001 Commerce Dr, Bakersfield L4396 $417 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Tustin 14851 Yorba St, Tustin L4396 $471 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L4396 $471 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar L4396 $2,972 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta L4396 $2,972 [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.