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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls L4396 $2 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown L4396 $34 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo L4396 $106 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton L4396 $163 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids L4396 $172 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, L4396 $172 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau L4396 $172 [source] 4 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage L4396 $183 [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.