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  
Expand group Midwest Medical Equipment and Supply (2) $41.28 - $55.00
Expand group Park Nicollet Health Care Products and Pharmacies (12) $89.00 - $93.53
  Sanford HealthCare Accessories Fargo, ND $89.00 - $93.53  
  Twin Cities Orthopedics PA Waconia, MN $89.00 - $93.53  

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