Custom double-upright ankle-foot brace with calf band at AMH Cath Labs LLC

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

ORTHOSIS ANKLE/FOOT AFO DBL SOLID DORSIFLEX

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $117 is 80% below the median hospital's median price ($574), higher than 0% of the 948 hospitals reporting HCPCS L1990. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1990 at AMH Cath Labs LLC

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	$11	$49	$53	109%	—	$11 – $124
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$11	$49	$53	109%	—	$11 – $124
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$12	$51	$56	109%	—	$12 – $130
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$12	$53	$57	109%	—	$12 – $134
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$12	$54	$58	109%	—	$12 – $136
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$39	$169	$185	109%	—	$39 – $431
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$51	$224	$245	109%	—	$51 – $571
8	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$62	$273	$298	109%	—	$62 – $695
9	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$68	$299	$327	109%	—	$68 – $761
10	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$69	$302	$330	109%	—	$69 – $769
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$69	$304	$332	109%	—	$69 – $773
12	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$69	$304	$332	109%	—	$69 – $773
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$79	$345	$376	109%	—	$79 – $876
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$83	$364	$398	109%	—	$83 – $927
15	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$87	$380	$415	109%	—	$87 – $966
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$87	$381	$416	109%	—	$87 – $969
17	Aetna asa percent of total billed charges · outpatientfrom % of charges	$87	$383	$418	109%	—	$87 – $975
18	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$87	$383	$418	109%	—	$87 – $975
19	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$93	$407	$444	109%	—	$93 – $1.0k
20	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$109	$476	$519	109%	—	$109 – $1.2k
21	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$109	$476	$519	109%	—	$109 – $1.2k
22	Blue Cross Blue Shield medicare advantage case rate · outpatient	$512	$512	—	—	—	$512 – $512
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$117	$514	$561	109%	—	$117 – $1.3k
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$117	$514	$561	109%	—	$117 – $1.3k
25	Humana medicare advantage case rate · outpatient	$533	$533	—	—	—	$533 – $533

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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