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
Replace metal bands kafo-afo, calf or distal thigh
BRADENTON, FL
See all hospitals reporting HCPCS L4090 →Price type
Hca Florida Blake Hospital’s median price of $114 is about the same as the median hospital's median price ($115), higher than 45% 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: 8 payers, 12 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 | Humana tricare fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 2 | Aetna mcr fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 3 | Caresource tricare fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 4 | Devoted mcr fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 5 | UnitedHealthcare mgmcd fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 6 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 8 | UnitedHealthcare mcr fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 9 | Humana mgmcrppo fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 10 | WellCare mcr fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 11 | Cigna Healthspring mcr fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Humana mgmcrhmo fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
Last updated: Mar 1, 2026
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.