Details: Prefabricated. L4386 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 ![]() |
---|
Brainerd Medical Supply Inc | Brainerd, MN | $97.00 - $104.81 | |||||
Fairview Orthotics and Prosthetics Wyoming | Wyoming, MN | $260.83 - $276.97 | |||||
Healthline Medical Supply | Hibbing, MN | $152.21 - $153.88 | |||||
Lincare Inc | Little Falls, MN | $152.21 - $153.88 | |||||
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Midwest Medical Equipment and Supply (2) | $97.00 - $104.81 | |||||
Midwest Medical Equip and Supply | Duluth, MN | $97.00 - $104.81 | |||||
Midwest Medical Equip and Supply | Duluth, MN | $97.00 - $104.81 | |||||
Northern Orthotic & Prosthetic Services | Duluth, MN | $152.21 - $153.88 | |||||
Sanford HealthCare Accessories | Fargo, ND | $152.21 - $153.88 | |||||
Tillges Certified Orthotic Prosthetic Inc | Maplewood, MN | $152.21 - $153.88 | |||||
Winkley Orthotics & Prosthetics | Rice Lake, WI | $152.21 - $153.88 |
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