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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Illinois rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated October 2026.

How much does Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh cost?

$63.10

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $141 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$51.29 to $102
FacilityA hospital or hospital-owned outpatient department$141$115 to $240

How much rates vary

Facilitymedian $141 · 10th to 90th $66 to $589Professionalmedian $55 · 10th to 90th $49 to $141
$50$100$200$500$1Kfacility $141professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$26.30
Typical High
$41.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$16.60
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$7.76
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$5.25
Typical High
$8.32
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$173.78
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$120.23
Typical High
$173.78
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Molina
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$51.29
Typical High
$123.03

Where Illinois sits

The same service costs 2.7 times more in Hawaii than in Delaware. 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.

Illinois· 29th of 51

$63.10

HI $132DE $48.98

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.