go back

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.

Facilitymedian $79 · 10th–90th $51$6030%10%20%10th90th$79Professionalmedian $100 · 10th–90th $51$1550%20%10th90th$100$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$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