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.
Original text from hospital filings
ORTHOSIS ANKLE/FOOT PLASTIC SPRING
Arlington, TX
See all hospitals reporting HCPCS L1940 →Price type
AMH Cath Labs LLC’s median price of $611 is 2% below the median hospital's median price ($627), higher than 41% of the 1,055 hospitals reporting HCPCS L1940. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $423 | $423 | — | — | — | $423 – $423 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $515 | $515 | — | — | — | $515 – $515 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $569 | $569 | — | — | — | $569 – $569 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 13 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $582 | $582 | — | — | — | $582 – $582 |
| 14 | Humana medicare advantage case rate · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 15 | Humana medicare advantage ppo case rate · outpatient | $605 | $605 | — | — | — | $605 – $605 |
| 16 | Molina medicare advantage case rate · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 17 | WellCare medicare advantage hmo case rate · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 18 | WellCare medicare advantage mmp case rate · outpatient | $640 | $640 | — | — | — | $640 – $640 |
| 19 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 20 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $649 | $649 | — | — | — | $649 – $649 |
| 21 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $658 | $658 | — | — | — | $658 – $658 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $686 | $686 | — | — | — | $686 – $686 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $716 | $716 | — | — | — | $716 – $716 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $718 | $718 | — | — | — | $718 – $718 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $722 | $722 | — | — | — | $722 – $722 |
Last updated: Apr 21, 2026
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