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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Massachusetts 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?

$100

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $79.43 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 9 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$100$53.70 to $105
FacilityA hospital or hospital-owned outpatient department$79.43$51.29 to $209

How much rates vary

Facilitymedian $79 · 10th to 90th $51 to $603Professionalmedian $100 · 10th to 90th $51 to $155
$50$100$200$500$1K$2K$5Kfacility $79professional $100

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$181.97
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$602.56
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$81.28
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$154.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$602.56
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$112.20

Where Massachusetts 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.

Massachusetts· 9th of 51

$100

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.