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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Iowa 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?

$81.28

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $91.20 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$81.28$52.48 to $100
FacilityA hospital or hospital-owned outpatient department$91.20$70.79 to $162

How much rates vary

Facilitymedian $91 · 10th to 90th $56 to $288Professionalmedian $81 · 10th to 90th $43 to $145
$50$100$200$500facility $91professional $81

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
$60.26
Median
$74.13
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$81.28
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$151.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$169.82
Midlands
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$64.57
Typical High
$114.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$125.89

Where Iowa 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.

Iowa· 12th of 51

$81.28

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.