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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan L4396 $108 [source] 4 years ago
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission L4396 $124 [source] 4 years ago
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita L4396 $131 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg L4396 $131 [source] 4 years ago
Midamerica Rehabilitation Hospital 5701 W 110Th St, Shawnee Mission L4396 $347 [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.