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 leather cuff kafo-afo, calf or distal thigh
CONROE, TX
See all hospitals reporting HCPCS L4110 →Price type
Hca Houston Healthcare Conroe’s median price of $112 is 6% above the median hospital's median price ($106), higher than 61% of the 818 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: 10 payers, 28 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 | Oscar mgmcr fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 3 | Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Cigna Healthspring mcrhmo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 5 | Cigna Healthspring mcrppo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Cigna Healthspring mcrsnp fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Cigna Healthspring mmp fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Cigna Healthspring pffs fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Devoted mgmcr fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Humana medicareadvantagehmo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 11 | Humana medicareadvantageppopffs fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Aetna mcr fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 13 | UnitedHealthcare mcr fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 14 | WellCare mcrhmo fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 15 | WellCare pffs fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 16 | WellCare pos fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 17 | WellCare ppo fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 18 | WellCare snp fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 19 | Superior Healthplan dualeligible fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 20 | Superior Healthplan mcrhmo fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 21 | Superior Healthplan mcrpos fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Superior Healthplan mcrppo fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 23 | Superior Healthplan mcrsnp fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 24 | Superior Healthplan pffs fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 25 | Molina mgmcr fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
Last updated: May 14, 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.