go back

Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Connecticut 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 Connecticut, 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 $66.07 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 6 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$51.29 to $64.57
FacilityA hospital or hospital-owned outpatient department$66.07$60.26 to $120

How much rates vary

Facilitymedian $66 · 10th to 90th $47 to $123Professionalmedian $58 · 10th to 90th $45 to $115
$50$100$200$500facility $66professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$134.90
Health New England
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$58.88
Typical High
$104.71

Where Connecticut 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.

Connecticut· 39th 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.