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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls L4397 $13 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette L4397 $96 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay L4397 $96 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton L4397 $163 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids L4397 $184 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, L4397 $184 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau L4397 $184 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy L4397 $280 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha L4397 $280 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton L4397 $280 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh L4397 $280 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford L4397 $280 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee L4397 $280 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee L4397 $280 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc L4397 $280 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee L4397 $280 [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.