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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Louisiana 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?

$69.18

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$48.98 to $93.33
FacilityA hospital or hospital-owned outpatient department$141$100 to $209

How much rates vary

Facilitymedian $141 · 10th to 90th $66 to $257Professionalmedian $69 · 10th to 90th $46 to $93
$50$100$200facility $141professional $69

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
$69.18
Median
$69.18
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$74.13
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$37.15
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.80
Median
$14.79
Typical High
$16.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.47
Median
$10.96
Typical High
$12.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.92
Median
$7.41
Typical High
$7.94
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$194.98
Typical High
$275.42
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
United
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$58.88
Typical High
$75.86

Where Louisiana 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.

Louisiana· 20th of 51

$69.18

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.