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 prox
Dubuque, IA
See all hospitals reporting HCPCS L4080 →Price type
The Finley Hospital’s median price of $143 is 14% above the median hospital's median price ($125), higher than 72% of the 807 hospitals reporting HCPCS L4080. 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, 17 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 | UnitedHealthcare hmo fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 2 | UnitedHealthcare ppo fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Wellmark commercial fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
| 4 | Wellmark hmo fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
| 5 | Wellmark ppo fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
| 6 | Aetna hmo fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Aetna ppo fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 8 | Aetna medicare advantage case rate · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 9 | Molina medicare advantage case rate · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 10 | Wellmark medicare advantage case rate · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 11 | Humana medicare advantage case rate · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 13 | Aetna hmo fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 14 | Aetna ppo fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 15 | Cigna commercial fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
Last updated: Jan 28, 2026
See Replacement metal bands for knee-ankle-foot orthosis, thigh pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.