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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Arizona rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $107 · 10th–90th $33$2450%10%10th90th$107Professionalmedian $58 · 10th–90th $45$1290%20%10th90th$58$0.1$0.5$2.0$10.0$50.0$200.0

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
$44.67
Median
$57.54
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$141.25
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$263.03
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
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$87.10
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$102.33
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$75.86