Ankle Control Orthosis
Details: Stirrup Style, Rigid Pre-Fabricated. L4350 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.
Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?
Cost Key: |
Lower Cost | Medium Cost | Higher Cost |
Facility  |
City/State |  Average Cost Range |
|---|
| Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $89.00 - $93.53 | |||||
| Community Memorial Hospital | Cloquet, MN | $89.00 - $93.53 | |||||
| DJO LLC | New Brighton, MN | $59.22 - $62.88 | |||||
| Fairview Home Medical Equipment-St Paul | Saint Paul, MN | $41.28 - $55.00 | |||||
| Kinex Medical Company | Waukesha, WI | $89.00 - $93.53 | |||||
| Mayo Clinic Store-Siebens | Rochester, MN | $41.28 - $55.00 | |||||
 |
Midwest Medical Equipment and Supply (2) | $41.28 - $55.00 | |||||
| Midwest Medical Equip and Supply | Duluth, MN | $41.28 - $55.00 | |||||
| Midwest Medical Equip and Supply | Duluth, MN | $41.28 - $55.00 | |||||
|
Park Nicollet Health Care Products and Pharmacies (12) | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Bloomington, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $89.00 - $93.53 | |||||
| Pharmacy @ Park Nicollet-Chanhassen | Chanhassen, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $89.00 - $93.53 | |||||
| Pharmacy @ Park Nicollet-Burnsville | Burnsville, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Plymouth, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Maple Grove, MN | $89.00 - $93.53 | |||||
| Park Nicollet Health Care Products | Shakopee, MN | $89.00 - $93.53 | |||||
| Pharmacy @ Park Nicollet-Brookdale | Brooklyn Center, MN | $89.00 - $93.53 | |||||
| Pharmacy @ Park Nicollet-St Louis Park | Saint Louis Park, MN | $89.00 - $93.53 | |||||
| Sanford HealthCare Accessories | Fargo, ND | $89.00 - $93.53 | |||||
| Twin Cities Orthopedics PA | Waconia, MN | $89.00 - $93.53 | |||||
