Replacement metal bands for knee-ankle-foot orthosis, thigh

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repl met band kafo-afo prox

Payers reporting HCPCS L4080

Payer pricing summary

Low

$34

Average

$147

Median

$132

High

$334

Payer rate distribution

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Filter by billing class

#
1	Aetna fee schedule · outpatient · +9 other terms	359	$123	$147	$77	52%	—	$61 – $920
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	356	$120	$127	$33	26%	—	$57 – $457
3	Humana fee schedule · outpatient · +9 other terms	317	$123	$180	$186	103%	—	$63 – $894
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	218	$125	$166	$91	55%	—	$0 – $621
5	WellCare fee schedule · outpatient · +5 other terms	208	$121	$127	$21	16%	—	$114 – $232
6	Devoted fee schedule · outpatient · +3 other terms	165	$123	$119	$6	5%	—	$112 – $158
7	Molina fee schedule · outpatient · +4 other terms	138	$171	$166	$61	37%	—	$71 – $305
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$126	$121	$8	7%	—	$116 – $160
9	Cigna fee schedule · outpatient · +7 other terms	102	$127	$145	$44	30%	—	$112 – $358
10	Anthem fee schedule · outpatient · +6 other terms	80	$120	$169	$161	95%	—	$67 – $916
11	Kaiser fee schedule · outpatient · +5 other terms	64	$119	$213	$165	77%	—	$112 – $1.0k
12	Superior Healthplan fee schedule · outpatient	40	$122	$122	$1	0%	—	$114 – $122
13	Clover fee schedule · outpatient · +2 other terms	37	$122	$122	$7	6%	—	$116 – $155
14	Oscar fee schedule · outpatient · +4 other terms	36	$129	$143	$39	28%	—	$114 – $239
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$220	$237	$50	21%	—	$120 – $327
16	Optum fee schedule · outpatient · +2 other terms	33	$123	$157	$59	38%	—	$112 – $291
17	Caresource fee schedule · outpatient · +5 other terms	28	$123	$131	$36	27%	—	$67 – $189
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$121	$123	$4	4%	—	$115 – $132
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$147	$145	$4	3%	—	$135 – $147
20	Bcbs Tx fee schedule · outpatient	18	$114	$114	—	—	—	$114 – $114
21	Medicare fee schedule · outpatient · +1 other terms	18	$112	$112	$1	1%	—	$112 – $114
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$122	$141	$35	25%	—	$66 – $193
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$111	$111	$26	23%	—	$54 – $130
24	Wellmark fee schedule · both · +1 other terms	13	$131	$130	$7	5%	—	$89 – $131
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$65	$88	$28	31%	—	$65 – $120

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