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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Idaho 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?

$91.20

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $126 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 8 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$91.20$50.12 to $132
FacilityA hospital or hospital-owned outpatient department$126$95.50 to $132

How much rates vary

Facilitymedian $126 · 10th to 90th $59 to $170Professionalmedian $91 · 10th to 90th $42 to $151
$50$100$200$500facility $126professional $91

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
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$104.71
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$97.72
Typical High
$120.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$131.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$58.88
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$72.44

Where Idaho 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.

Idaho· 11th of 51

$91.20

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.