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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Georgia 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?

$66.07

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $110 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$64.57$51.29 to $89.13
FacilityA hospital or hospital-owned outpatient department$110$50.12 to $151

How much rates vary

Facilitymedian $110 · 10th to 90th $50 to $398Professionalmedian $65 · 10th to 90th $50 to $105
$50$100$200facility $110professional $65

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
$50.12
Median
$50.12
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$93.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
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
$128.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$53.70
Typical High
$104.71

Where Georgia 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.

Georgia· 21st of 51

$66.07

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.