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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Florida rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $46$2000%20%10th90th$56Professionalmedian $56 · 10th–90th $45$930%20%10th90th$56$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
Facility
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$93.33
AvMed
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
AvMed
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$64.57
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$75.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$109.65