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
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L4396 $134 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L4396 $134 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L4396 $134 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L4396 $136 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L4396 $153 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L4396 $157 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L4396 $157 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L4396 $157 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L4396 $157 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L4396 $157 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L4396 $157 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L4396 $157 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L4396 $194 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Western Massachusetts 222 State St, Ludlow L4396 $238 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L4396 $259 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L4396 $383 [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.