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
Texas
Hospital Address Code Price Last Updated
Texoma Medical Center 5016 South Us Highway 75, Denison L4396 $120 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo L4396 $131 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston L4396 $134 [source] 4 years ago
Ben Taub General Hospital 1504 Taub Loop, Houston L4396 $169 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station L4396 $176 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls L4396 $176 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham L4396 $176 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor L4396 $176 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas L4396 $221 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano L4396 $221 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney L4396 $221 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey L4396 $221 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville L4396 $221 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving L4396 $221 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine L4396 $221 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton L4396 $221 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda L4396 $221 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of City View 6701 Oakmont Blvd, Fort Worth L4396 $347 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L4396 $347 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Plano 2800 W 15Th St, Plano L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Texarkana 515 W 12Th St, Texarkana L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Wichita Falls 3901 Armory Rd, Wichita Falls L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sugar Land 1325 Highway 6, Sugar Land L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Humble 19002 Mckay Dr, Humble L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L4396 $397 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Cypress 13031 Wortham Center Dr, Houston L4396 $397 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo L4396 $567 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson L4396 $697 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville L4396 $984 [source] 4 years ago
Medical City Mckinney 13155 Noel Rd. Suite 200, Dallas L4396 $1,326 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg L4396 $1,356 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen L4396 $1,356 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen L4396 $1,356 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving L4396 $1,638 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth L4396 $1,770 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford L4396 $2,605 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington L4396 $2,605 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth L4396 $3,540 [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.