Lower Extremity Addition

Details: Below Knee/Above Knee, Custom Fabricated From Existing Mold, Socket Insert, Silicone Gel, Elastomeric or Equal, For Use With Locking Mechanism. L5673 is the Healthcare Commom 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                         
  Arise Orthotics and Prosthetics Inc Spring Lake Park, MN $725.58 - $766.42  
Expand group Hanger Prosthetics & Orthotics (3) $725.58 - $766.42
  Hanger Prosthetics and Orthotics Inc Ames, IA $725.58 - $766.42  
  Keycare Medical Minot, ND $725.58 - $766.42  
  Limb Lab Mankato, MN $725.58 - $766.42  
  Northern Orthotic & Prosthetic Services Duluth, MN $725.58 - $766.42  
  Park Nicollet Health Care Products Saint Louis Park, MN $725.58 - $766.42  
Expand group Prosthetic Laboratories of Rochester (2) $725.58 - $766.42
  Sanford HealthCare Accessories Fargo, ND $725.58 - $766.42  
Expand group Tillges Certified Orthotic Prosthetic Inc (2) $725.58 - $766.42
Expand group Winkley Orthotics & Prosthetics (2) $725.58 - $766.42

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