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
Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated
Independence, MO
See all hospitals reporting HCPCS L1990 →Price type
Centerpoint Medical Center’s median price of $591 is 3% above the median hospital's median price ($574), higher than 55% of the 952 hospitals reporting HCPCS L1990. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 mcrhmo fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 3 | Blue Cross Blue Shield tricare fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 4 | Devoted mgmcr fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 5 | Humana mgmcrhmo fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 6 | Humana mgmcrppo fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 7 | Humana pffs fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 8 | UnitedHealthcare vaccn fee schedule · outpatient | $591 | $591 | — | — | — | $591 – $591 |
| 9 | Cigna healthspringmgmcr fee schedule · outpatient | $603 | $603 | — | — | — | $603 – $603 |
| 10 | UnitedHealthcare mgmcr fee schedule · outpatient | $603 | $603 | — | — | — | $603 – $603 |
| 11 | WellCare mcr fee schedule · outpatient | $603 | $603 | — | — | — | $603 – $603 |
Last updated: Mar 1, 2026
See Custom double-upright ankle-foot brace with calf band pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.