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 calf/
Macon, GA
See all hospitals reporting HCPCS L4090 →Price type
Central Georgia Rehabilitation LLC’s median price of $109 is 6% below the median hospital's median price ($115), higher than 33% of the 819 hospitals reporting HCPCS L4090. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 9 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 | Aetna medicare advantage fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Humana medicare advantage fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 6 | Clover medicare advantage fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Humana hmo/pos fee schedule · both | $153 | $153 | — | — | — | $153 – $153 |
| 8 | Humana ppo fee schedule · both | $153 | $153 | — | — | — | $153 – $153 |
| 9 | Kaiser commercial fee schedule · both | $190 | $190 | — | — | — | $190 – $190 |
Last updated: Nov 19, 2025
See Replacement of metal bands on leg brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.