Replacement of metal bands on leg brace at UnityPoint Health Marshalltown

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/

Marshalltown, IA

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How this price compares nationally

UnityPoint Health Marshalltown’s median price of $140 is 22% above the median hospital's median price ($115), higher than 78% 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 UnityPoint Health Marshalltown

Negotiated rates from the hospital’s own file: 6 payers, 15 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 medicare advantage case rate · outpatient	$138	$138	—	—	—	$138 – $138
7	Molina medicare advantage case rate · outpatient	$138	$138	—	—	—	$138 – $138
8	Wellmark medicare advantage case rate · outpatient	$138	$138	—	—	—	$138 – $138
9	Humana medicare advantage case rate · outpatient	$142	$142	—	—	—	$142 – $142
10	UnitedHealthcare medicare advantage case rate · outpatient	$142	$142	—	—	—	$142 – $142
11	Aetna hmo fee schedule · both	$146	$146	—	—	—	$146 – $146
12	Aetna ppo fee schedule · both	$146	$146	—	—	—	$146 – $146
13	UnitedHealthcare hmo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
14	UnitedHealthcare ppo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
15	Cigna commercial fee schedule · both	$166	$166	—	—	—	$166 – $166

Last updated: Jan 28, 2026

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