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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Hawaii 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?

$132

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $66.07 to $132.

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.

How much rates vary

Facilitymedian $66 · 10th to 90th $50 to $102Professionalmedian $132 · 10th to 90th $42 to $138
$50$100facility $66professional $132

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
$41.69
Median
$41.69
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$162.18
HMSA
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$158.49

Where Hawaii 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.

Hawaii· 1st of 51

$132

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.