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
Missouri
Hospital Address Code Price Last Updated
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit L4396 $66 [source] 4 years ago
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City L4396 $96 [source] 4 years ago
Wright Memorial Hospital 191 Iowa Blvd, Trenton L4396 $131 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City L4396 $152 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe L4396 $170 [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.