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 | |||||
| Hanger Prosthetics and Orthotics Inc | Ames, IA | $725.58 - $766.42 | |||||
 |
Hanger Prosthetics & Orthotics (3) | $725.58 - $766.42 | |||||
| Hanger Prosthetics & Orthotics Minneapolis | Minneapolis, MN | $725.58 - $766.42 | |||||
| Hanger Prosthetics & Orthotics Duluth - Lower Level | Duluth, MN | $725.58 - $766.42 | |||||
| Hanger Prosthetics & Orthotics Saint Cloud | Sartell, MN | $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 | |||||
|
Prosthetic Laboratories of Rochester (2) | $725.58 - $766.42 | |||||
| Hanger Clinic | Rochester, MN | $725.58 - $766.42 | |||||
| Hanger Clinic | Eau Claire, WI | $725.58 - $766.42 | |||||
| Sanford HealthCare Accessories | Fargo, ND | $725.58 - $766.42 | |||||
|
Tillges Certified Orthotic Prosthetic Inc (2) | $725.58 - $766.42 | |||||
| Tillges Certified Orthotic Prosthetic Inc | Maplewood, MN | $725.58 - $766.42 | |||||
| Tillges Certified Orthotic Prosthetic Inc | Woodbury, MN | $725.58 - $766.42 | |||||
|
Winkley Orthotics & Prosthetics (2) | $725.58 - $766.42 | |||||
| Winkley Orthotics & Prosthetics | Cambridge, MN | $725.58 - $766.42 | |||||
| Winkley Orthotics & Prosthetics | Golden Valley, MN | $725.58 - $766.42 | |||||
