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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Maine 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?

$72.44

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $123 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$72.44$61.66 to $105
FacilityA hospital or hospital-owned outpatient department$123$66.07 to $141

How much rates vary

Facilitymedian $123 · 10th to 90th $62 to $151Professionalmedian $72 · 10th to 90th $51 to $105
$50$100$200facility $123professional $72

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$102.33
Typical High
$104.71

Where Maine 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.

Maine· 15th of 51

$72.44

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.