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

Hawaii

Hospital	Address	Code	Price	Last Updated
Hale Ho'ola Hamakua	100 Keokea Pl, Kula	L4396	$125 [source]	4 years ago
Kau Hospital	1 Kamani Street, Pahala	L4396	$125 [source]	4 years ago
Hilo Medical Center	1190 Waianuenue Ave, Hilo	L4396	$125 [source]	4 years ago
Kona Community Hospital	79-1019 Haukapila St, Kealakekua	L4396	$125 [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 §180.