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  |
||
|---|---|---|---|---|
 |
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 | |||||
|
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 | |||||
| Sanford HealthCare Accessories | Fargo, ND | $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 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $725.58 - $766.42 | |||||
| Northern Orthotic & Prosthetic Services | Duluth, MN | $725.58 - $766.42 | |||||
| Limb Lab | Mankato, MN | $725.58 - $766.42 | |||||
| Keycare Medical | Minot, ND | $725.58 - $766.42 | |||||
|
Hanger Prosthetics & Orthotics (3) | $725.58 - $766.42 | |||||
| Hanger Prosthetics & Orthotics Duluth - Lower Level | Duluth, MN | $725.58 - $766.42 | |||||
| Hanger Prosthetics & Orthotics Minneapolis | Minneapolis, MN | $725.58 - $766.42 | |||||
| Hanger Prosthetics & Orthotics Saint Cloud | Sartell, MN | $725.58 - $766.42 | |||||
| Hanger Prosthetics and Orthotics Inc | Ames, IA | $725.58 - $766.42 | |||||
| Arise Orthotics and Prosthetics Inc | Spring Lake Park, MN | $725.58 - $766.42 |
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