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 leath cuff kafo-afo cal
Arlington, TX
See all hospitals reporting HCPCS L4110 →Price type
AMH Cath Labs LLC’s median price of $113 is 7% above the median hospital's median price ($106), higher than 62% of the 814 hospitals reporting HCPCS L4110. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 2 | Humana medicare advantage case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 4 | Molina medicare advantage case rate · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
Last updated: Apr 21, 2026
See Replacement leather cuff for knee-ankle-foot orthosis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.