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 leath cuff kafo-afo cal
Cypress, TX
See all hospitals reporting HCPCS L4110 →Price type
Houston Methodist Cypress Hospital’s median price of $113 is 7% above the median hospital's median price ($106), higher than 62% 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: 7 payers, 8 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 medicare managed care - hmo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | Molina exchange fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
Last updated: Apr 1, 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.