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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Michigan 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?

$79.43

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $151 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$57.54 to $102
FacilityA hospital or hospital-owned outpatient department$151$66.07 to $295

How much rates vary

Facilitymedian $151 · 10th to 90th $66 to $447Professionalmedian $76 · 10th to 90th $50 to $105
$50$100$200$500$1Kfacility $151professional $76

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
$58.88
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$29.51
Typical High
$51.29
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.75
Median
$11.75
Typical High
$20.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.91
Median
$8.91
Typical High
$15.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.89
Median
$5.89
Typical High
$10.23
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$302.00
Typical High
$575.44
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$102.33
CareSource
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
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
$57.54
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$199.53
Typical High
$218.78
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$81.28
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Priority Health
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Priority Health
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$61.66
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$50.12
Typical High
$72.44

Where Michigan 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.

Michigan· 19th of 51

$79.43

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.