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

Oklahoma

Hospital	Address	Code	Price	Last Updated
St. John Owasso	12451 E 100Th St N, Owasso	L4397	$110 [source]	4 years ago
St. John Medical Center	1923 S Utica Ave, Tulsa	L4397	$110 [source]	4 years ago
St. Mary’S Regional Medical Center	305 South 5Th Street, Enid	L4397	$453 [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.