The following fees and codes are based on prior experience from other customers who have billed out this product.  They are suggestions only, they do not represent Ortho-Rite, Inc. recommendations.  We suggest that you contact your insurance carrier or Medicare office’s to verify the exact billing codes for related fee’s.

Description	CPT Code	Suggested Fee
First Visit	99213	$ 65.00
Second Visit Dispense/fit The Stabilizer, molded to patient model with ankle joint	L 1940	$ 700.00
Soft interface	L 2820	$ 85.00
Total suggested fee for The Stabilizer (single foot, single Stabilizer)		$ 850.00