Replacement leather cuff for knee-ankle-foot orthosis

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 leath cuff kafo-afo cal

Payers reporting HCPCS L4110

Payer pricing summary

Low

$34

Average

$127

Median

$110

High

$361

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$106	$127	$76	59%	—	$49 – $869
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$105	$107	$32	30%	—	$48 – $431
3	Humana fee schedule · outpatient · +9 other terms	317	$102	$158	$175	111%	—	$50 – $829
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	229	$108	$143	$77	54%	—	$0 – $520
5	WellCare fee schedule · outpatient · +6 other terms	208	$106	$114	$26	23%	—	$94 – $251
6	Devoted fee schedule · outpatient · +3 other terms	165	$99	$105	$6	5%	—	$95 – $132
7	Molina fee schedule · outpatient · +4 other terms	138	$152	$151	$57	38%	—	$59 – $283
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$104	$107	$4	4%	—	$97 – $134
9	Cigna fee schedule · outpatient · +10 other terms	102	$106	$121	$39	32%	—	$95 – $321
10	Anthem fee schedule · outpatient · +6 other terms	80	$99	$137	$128	93%	—	$56 – $731
11	Kaiser fee schedule · outpatient · +5 other terms	64	$101	$197	$159	81%	—	$95 – $954
12	Superior Healthplan fee schedule · outpatient	40	$113	$113	$1	0%	—	$106 – $113
13	Clover fee schedule · outpatient · +3 other terms	37	$126	$116	$11	10%	—	$97 – $130
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$185	$191	$39	21%	—	$71 – $246
15	Oscar fee schedule · outpatient · +4 other terms	36	$106	$125	$38	31%	—	$102 – $221
16	Optum fee schedule · outpatient · +3 other terms	33	$97	$135	$61	45%	—	$94 – $270
17	Caresource fee schedule · outpatient · +5 other terms	28	$97	$105	$28	27%	—	$56 – $151
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$103	$107	$8	7%	—	$99 – $124
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$117	$115	$4	3%	—	$106 – $117
20	Bcbs Tx fee schedule · outpatient	18	$106	$106	—	—	—	$106 – $106
21	Medicare fee schedule · outpatient · +1 other terms	18	$95	$95	$1	1%	—	$95 – $97
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$97	$113	$28	25%	—	$53 – $154
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$89	$89	$21	23%	—	$43 – $104
24	Wellmark fee schedule · both · +1 other terms	13	$96	$96	$4	4%	—	$71 – $96
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$52	$70	$22	31%	—	$52 – $96

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