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
Repl met band kafo-afo prox
Arlington, TX
See all hospitals reporting HCPCS L4080 →Price type
AMH Cath Labs LLC’s median price of $122 is 3% below the median hospital's median price ($125), higher than 36% of the 803 hospitals reporting HCPCS L4080. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 medicare advantage case rate · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 2 | Humana medicare advantage case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 4 | Molina medicare advantage case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
Last updated: Apr 21, 2026
See Replacement metal bands for knee-ankle-foot orthosis, thigh pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.