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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?




               

               


                    

                    

                    
                 
                    

                         

                    

               

               

          

          
          
          

               

               

               

               

                    

                         

                              

                                   
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                                   		 Facility     
                                   City/State                                 
                                   
                                        Average Cost Range     
                                     
                                   
                                                                                                                                                                
                              

                         
                        
                         

                         

                         

                         
                                                                 

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                                        Fairview Home Medical Equipment (4)
                                        
                                        
                                        $43.20 - $52.80

								
                                        
                                   

                                   
                                   
                               
                                   

                                         
                                        Fairview Ortho and Prosth- University
                                        Minneapolis, MN
                                        $43.20 - $52.80
                                         
                   
                                   

                                                               

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                                        Fairview Orthotics and Prosthetics (7)
                                        
                                        
                                        $43.20 - $52.80

								
                                        
                                   

                                   
                                   
                               
                                   

                                         
                                        Fairview Riverside Pharmacy
                                        Minneapolis, MN
                                        $43.20 - $52.80
                                         
                   
                                   

                             
                                   

                                         
                                        Fairview Univ Med Ctr Dept of Pharmaceutical Serv
                                        Minneapolis, MN
                                        $43.20 - $52.80
                                         
                   
                                   

                                                               

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                                        Park Nicollet Health Care Products (20)
                                        
                                        
                                        $78.86 - $96.38

								
                                        
                                   

                                   
                                   
                                                                 
                              


                         

                    

                    
                    
                    
                    
                    

               


               

                    
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