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 met band kafo-afo calf/
Edmonds, WA
See all hospitals reporting HCPCS L4090 →Price type
Swedish Edmonds’s median price of $166 is 44% above the median hospital's median price ($115), higher than 85% of the 815 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: 6 payers, 9 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 | Kaiser medicare managed care plan fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 3 | Aetna medicare managed care - ppo fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Humana choice care medicare managed care plan fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 8 | Kaiser all commercial plans fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 9 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
Last updated: Apr 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.