Details: Pre-fabricated With Fitting and Adjustments. L4360 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 | ![]() |
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Advance O&P | Alexandria, MN | $239.42 - $251.28 | |||||
Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $239.42 - $251.28 | |||||
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Fairview Orthotics and Prosthetics (2) | $434.83 - $461.72 | |||||
Fairview Orthotics and Prosthetics-Burnsville | Burnsville, MN | $434.83 - $461.72 | |||||
Fairview Orthotics and Prosthetics Edina | Edina, MN | $434.83 - $461.72 | |||||
Northern Orthotic & Prosthetic Services | Duluth, MN | $239.42 - $251.28 | |||||
NuCara Pharmacy #23 | Paynesville, MN | $239.42 - $251.28 | |||||
Ridgeview Home Medical Equipment | Waconia, MN | $239.42 - $251.28 | |||||
Westlake Orthotics and Prosthetics Inc | Saint Paul, MN | $239.42 - $251.28 |