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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Kansas rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $105 · 10th–90th $33$1320%50%10th90th$105Professionalmedian $120 · 10th–90th $59$1200%50%10th$120$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$70.79
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$91.20
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$107.15
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$91.20