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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Nationwide rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $85 · 10th–90th $48$2690%20%10th90th$85Professionalmedian $62 · 10th–90th $46$1200%20%40%10th90th$62$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$42.66
Median
$57.54
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$104.71