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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.

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

$54.95

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $56.23 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$54.95$50.12 to $60.26
FacilityA hospital or hospital-owned outpatient department$56.23$54.95 to $115

How much rates vary

Facilitymedian $56 · 10th to 90th $46 to $158Professionalmedian $55 · 10th to 90th $49 to $68
$50$100$200$500facility $56professional $55

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
$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

Where Kentucky 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.

Kentucky· 43rd of 51

$54.95

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.