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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Colorado 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?

$57.54

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $81.28 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 7 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$52.48 to $70.79
FacilityA hospital or hospital-owned outpatient department$81.28$57.54 to $105

How much rates vary

Facilitymedian $81 · 10th to 90th $33 to $145Professionalmedian $58 · 10th to 90th $49 to $98
$50$100$200$500facility $81professional $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
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$97.72
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
$107.15
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$85.11
Typical High
$144.54
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$208.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$218.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$75.86

Where Colorado 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.

Colorado· 37th of 51

$57.54

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.