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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 July 2026.

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

$60.26

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $105 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$57.54$52.48 to $97.72
FacilityA hospital or hospital-owned outpatient department$105$52.48 to $186

How much rates vary

Facilitymedian $105 · 10th to 90th $52 to $525Professionalmedian $58 · 10th to 90th $50 to $117
$50$100$200$500$1Kfacility $105professional $58

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
$52.48
Median
$52.48
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$117.49
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$173.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$91.20

Where Illinois 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.

Illinois· 34th of 51

$60.26

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.