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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 July 2026.

How much does Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh cost?

$61.66

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $138 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 7 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$61.66$56.23 to $102
FacilityA hospital or hospital-owned outpatient department$138$57.54 to $269

How much rates vary

Facilitymedian $138 · 10th to 90th $58 to $407Professionalmedian $62 · 10th to 90th $49 to $105
$1$10$100$1Kfacility $138professional $62

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
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$309.03
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$107.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$194.98
Typical High
$218.78
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$83.18
Typical High
$125.89
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$83.18
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$77.62

Where Michigan 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.

Michigan· 27th of 51

$61.66

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.