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?
|Lower Cost||Medium Cost||Higher Cost|
|Facility||City/State||Average Cost Range|
|Essentia Health Medical Equipment & Supplies||Duluth, MN||$132.00 - $144.00|
|Fairview Orthotics and Prosthetics||Minneapolis, MN||$208.00 - $230.00|
|Lincare, Inc.||North Sioux City, SD||$132.00 - $144.00|
|Midwest Medical Services||Mounds View, MN||$132.00 - $144.00|
|Park Nicollet Health Care Products - Pharmacy||Bloomington, MN||$146.00 - $148.00|
|Ridgeview Home Medical Equipment||Waconia, MN||$146.00 - $148.00|
|Sanford Health Accessories LLC||Fargo, ND||$146.00 - $148.00|
|Sanford Home Medical Equipment||Worthington, MN||$132.00 - $144.00|
|Tillges Certified Orthotic Prosthetic, Inc||Maplewood, MN||$132.00 - $144.00|
|Winkley Orthotics & Prosthetics (2)||$132.00 - $144.00|
|Winkley Orthotics & Prosthetics||Coon Rapids, MN||$132.00 - $144.00|
|Winkley Orthotics & Prosthetics||Minneapolis, MN||$132.00 - $144.00|