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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.

How much does Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh cost?

$60.26

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $107 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$48.98 to $72.44
FacilityA hospital or hospital-owned outpatient department$107$51.29 to $166

How much rates vary

Facilitymedian $107 · 10th to 90th $33 to $245Professionalmedian $58 · 10th to 90th $45 to $129
$50$100$200$500facility $107professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Arizona sits

The same service costs 3.2 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 31st of 51

$60.26

HI $132DC $41.69

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.