Code: L4397

Description:
Description: Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE ANK LT MD 9-12.5
BRACE STATIS OTS L4397
Yb Afo Static/dyn Prefab Ots
OBSOLETE** AFO SOFT INTERFACE L4397
SPLINT PLANTAR FASCITIS NIGHT L4397
BOOT MULTI PODUS REGULAR XLRG
HB PRAFO ADULT ALUMINUM-CF LO
HB OTS ROOKE BOOT
Related codes:
Code: L4392
Description: Replacement, soft interface material, static afo
HCPCS Category: Orthotic/prosthetic procedures
Code: L4394
ORTHO REPLAC SOFT INTFCE
Code: L4396
BOOT MULTI PODUS CUSTOM
Code: L4398
BRACE ORTHO RT ANKL 4
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L4397 $334 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L4397 $334 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L4397 $334 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L4397 $334 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L4397 $334 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L4397 $334 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L4397 $334 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L4397 $334 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L4397 $334 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L4397 $334 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L4397 $334 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L4397 $334 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L4397 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L4397 $6,012 [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.