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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Alaska rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $62 · 10th–90th $33$1260%20%40%10th90th$62Professionalmedian $68 · 10th–90th $51$1660%20%10th90th$68$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$141.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$91.20
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$398.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$123.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$302.00