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
Argyle, TX
See all hospitals reporting HCPCS L4110 →Price type
Medical City Denton’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: 9 payers, 25 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana tricare fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Devoted hmo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 5 | Devoted mcr fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Devoted mme fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Devoted pos fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Devoted ppo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Devoted snp fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Humana mgmcr fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 11 | UnitedHealthcare mgmcr fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Aetna mcr fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 13 | Cigna Healthspring mgmcr fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 14 | WellCare mgmcr fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 15 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 16 | Superior Healthplan mgmcrhmo fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 17 | Superior Healthplan mgmcrpffs fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 18 | Superior Healthplan mgmcrpos fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 19 | Superior Healthplan mgmcrppo fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 20 | Superior Healthplan mgmcrsnp fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 21 | Molina mcr fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 22 | Molina mme fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 23 | Molina mmp fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 24 | Molina hix fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 25 | Humana comm fee schedule · outpatient | $609 | $609 | — | — | — | $609 – $609 |
Last updated: Mar 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.