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 leath cuff kafo-afo cal
Marshalltown, IA
See all hospitals reporting HCPCS L4110 →Price type
UnityPoint Health Marshalltown’s median price of $129 is 22% above the median hospital's median price ($106), higher than 75% 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: 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 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | UnitedHealthcare ppo fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Wellmark commercial fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Wellmark hmo fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Wellmark ppo fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 6 | Aetna hmo fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 7 | Aetna ppo fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Cigna commercial fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 9 | Aetna medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Molina medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 11 | Wellmark medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 12 | Humana medicare advantage case rate · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
Last updated: Jan 28, 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.