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    
  Fairview Orthotics and Prosthetics-St Paul Saint Paul, MN $1,155.63 - $1,227.11
  Northern Orthotic & Prosthetic Services Duluth, MN $722.00 - $750.75
  Park Nicollet Health Care Products Saint Louis Park, MN $722.00 - $750.75
Expand group Prosthetic Laboratories of Rochester (2) $722.00 - $750.75  
  Tillges Certified Orthotic Prosthetic Inc Maplewood, MN $636.75 - $676.20
Expand group Winkley Orthotics & Prosthetics (2) $636.75 - $676.20