Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment cost in Indiana
$1,570
Cash from
$1,570–$2,702
Cash range · 9 distinct prices
$1,453
Insurer rates from
11
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jan 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL - CARMEL | Carmel | $1,927 | $1,453 | Jul 2025472 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE | La Porte | $1,570 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | Michigan City | $1,570 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER | Munster | $1,608 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE | Lafayette | $1,668 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | Indianapolis | $1,744 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL | Carmel | $1,744 | $2,175 | Jan 2026288 days old |
| FRANCISCAN HEALTH RENSSELAER, INC. | Rensselaer | $2,702 | $1,887 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | Mooresville | $1,917 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT | Crown Point | $1,947 | $2,175 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER | Dyer | $2,038 | $2,175 | Jan 2026288 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterSewho airplane w/jnt(s) cf
- Berger HospitalSewho airplane w/jnt(s) cf
- Bethesda Hospital Inc.Sewho airplane w/jnt(s) cf
- Clinton Memorial HospitalSewho airplane w/jnt(s) cf
- Dayton Osteopathic HospitalSewho airplane w/jnt(s) cf
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMELSewho Airplane W Jnts W Thoracic Comp/Bar Custom,
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTSewho Airplane W Jnts W Thoracic Comp/Bar Custom,
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERSewho Airplane W Jnts W Thoracic Comp/Bar Custom,
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLISSewho Airplane W Jnts W Thoracic Comp/Bar Custom,
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTESewho Airplane W Jnts W Thoracic Comp/Bar Custom,
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.