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Maryland rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $59 · 10th–90th $35$760%10%10th90th$59Professionalmedian $54 · 10th–90th $42$930%10%20%10th90th$54$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$93.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$81.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$89.13