Replacement of metal bands on leg brace at The Finley Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repl met band kafo-afo calf/

Dubuque, IA

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How this price compares nationally

The Finley Hospital’s median price of $135 is 17% above the median hospital's median price ($115), higher than 67% of the 819 hospitals reporting HCPCS L4090. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4090 at The Finley Hospital

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	$65	$65	—	—	—	$65 – $65
2	UnitedHealthcare ppo fee schedule · both	$65	$65	—	—	—	$65 – $65
3	Wellmark commercial fee schedule · both	$124	$124	—	—	—	$124 – $124
4	Wellmark hmo fee schedule · both	$124	$124	—	—	—	$124 – $124
5	Wellmark ppo fee schedule · both	$124	$124	—	—	—	$124 – $124
6	Aetna hmo fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
7	Aetna ppo fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
8	Aetna medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
9	Molina medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
10	Wellmark medicare advantage case rate · outpatient	$133	$133	—	—	—	$133 – $133
11	Humana medicare advantage case rate · outpatient	$137	$137	—	—	—	$137 – $137
12	UnitedHealthcare medicare advantage case rate · outpatient	$137	$137	—	—	—	$137 – $137
13	Aetna hmo fee schedule · both	$146	$146	—	—	—	$146 – $146
14	Aetna ppo fee schedule · both	$146	$146	—	—	—	$146 – $146
15	UnitedHealthcare hmo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
16	UnitedHealthcare ppo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
17	Cigna commercial fee schedule · both	$166	$166	—	—	—	$166 – $166

Last updated: Jan 28, 2026

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