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 non-molded calf lacer, for custom fabricated orthosis only
STUART, FL
See all hospitals reporting HCPCS L4055 →Price type
Hca Florida St. Lucie Hospital’s median price of $313 is 3% below the median hospital's median price ($322), higher than 40% of the 816 hospitals reporting HCPCS L4055. 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, 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 | Humana tricr fee schedule · outpatient | $298 | $298 | — | — | — | $298 – $298 |
| 2 | Devoted mcr fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 3 | Humana mgmcrhmo fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 4 | Humana mgmcrppo fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 5 | UnitedHealthcare gvt fee schedule · outpatient | $307 | $307 | — | — | — | $307 – $307 |
| 6 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 7 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 8 | UnitedHealthcare mcr fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 9 | Aetna mcr fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 10 | Cigna Healthspring mcr fee schedule · outpatient | $329 | $329 | — | — | — | $329 – $329 |
| 11 | Amerihealth Caritas mgmcr fee schedule · outpatient | $369 | $369 | — | — | — | $369 – $369 |
Last updated: Mar 1, 2026
See Replacement lacer for custom leg brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.