Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Ankle orthosis ankle gauntlet or similar with or without joints custom fabricated
Philadelphia, PA
See all hospitals reporting HCPCS L1904 →Price type
Thomas Jefferson University Hospital, Inc.’s median price of $676 is 20% above the median hospital's median price ($563), higher than 75% of the 832 hospitals reporting HCPCS L1904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Mar 18, 2026
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