Details: Prefabricated. L4386 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 | ![]() |
---|
Corner Medical LLC | Bloomington, MN | $67.85 - $109.76 | |||||
![]() |
Healthline Medical Supply (2) | $132.15 - $136.15 | |||||
Healthline Medical Supply | Hibbing, MN | $132.15 - $136.15 | |||||
Healthline Medical Supply | Virginia, MN | $132.15 - $136.15 | |||||
Lincare Inc | North Sioux City, SD | $132.15 - $136.15 | |||||
Midwest Medical Equip and Supply | Duluth, MN | $67.85 - $109.76 | |||||
Ridgeview Home Medical Equipment | Waconia, MN | $132.15 - $136.15 | |||||
![]() |
Sanford Home Medical Equipment (2) | $146.60 - $155.70 | |||||
Sanford HealthCare Accessories LLC | Fargo, ND | $146.60 - $155.70 | |||||
Sanford Health Healthcare Accessories | Bemidji, MN | $146.60 - $155.70 | |||||
Tillges Certified Orthotic Prosthetic Inc | Maplewood, MN | $132.15 - $136.15 | |||||
Winkley Orthotics & Prosthetics | Minneapolis, MN | $132.15 - $136.15 |