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Replacement Nonmolded Calf Lacer

Arkansas rates for HCPCS L4055

Replace nonmolded calf lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $170$891,2510%10%20%10th90th$380,189Professionalmedian $162 · 10th–90th $100$2450%20%40%10th90th$162$0.2$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$165.96
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$229.09