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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L4396 $334 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L4396 $334 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L4396 $334 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L4396 $334 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L4396 $334 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L4396 $334 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L4396 $334 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L4396 $334 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L4396 $334 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L4396 $334 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L4396 $334 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L4396 $334 [source] 4 years ago
Franciscan Health Hammond , Hammond L4396 $386 [source] 4 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh L4396 $397 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L4396 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L4396 $6,012 [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.