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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Kentucky rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $46$1580%20%40%10th90th$56Professionalmedian $55 · 10th–90th $49$680%50%10th90th$55$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
$54.95
Median
$54.95
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$61.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$77.62