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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Missouri 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?

$70.79

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $107 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$67.61$60.26 to $87.10
FacilityA hospital or hospital-owned outpatient department$107$70.79 to $132

How much rates vary

Facilitymedian $107 · 10th to 90th $59 to $209Professionalmedian $68 · 10th to 90th $51 to $158
$50$100$200$500facility $107professional $68

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
$67.61
Median
$67.61
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$64.57
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$107.15
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$102.33

Where Missouri 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.

Missouri· 17th of 51

$70.79

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.