HCPCS Code: L1085
Adjustable Outrigger Brace with Vertical Extension (L1085)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$158.00) after the $283 annual deductible. Your 20% coinsurance: ~$40.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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About Adjustable Outrigger Brace with Vertical Extension (L1085)
HCPCS code L1085 is the Medicare and insurance billing code for Adjustable Outrigger Brace with Vertical Extension (L1085). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
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Many patients find that purchasing DME items like adjustable outrigger brace with vertical extension (l1085) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code L1085?
HCPCS code L1085 is the Medicare and insurance billing code for Adjustable Outrigger Brace with Vertical Extension (L1085). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Adjustable Outrigger Brace with Vertical Extension (L1085) cost?
The typical private insurance price for Adjustable Outrigger Brace with Vertical Extension (L1085) is $395.00. If paying cash without insurance, expect to pay around $690.00. The estimated Medicare Allowed Amount is $198.00. The same or equivalent product is available on Amazon for approximately $207.00.
How much does Medicare pay for Adjustable Outrigger Brace with Vertical Extension (L1085)?
The estimated Medicare Allowed Amount for Adjustable Outrigger Brace with Vertical Extension (L1085) is $198.00. Under Original Medicare Part B, Medicare covers 80% (approximately $158.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $40.00. Medicare Advantage plan costs vary.
Can I buy Adjustable Outrigger Brace with Vertical Extension (L1085) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code L1085 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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