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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Montana 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?

$100

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $100 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 5 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$79.43$51.29 to $100
FacilityA hospital or hospital-owned outpatient department$100$85.11 to $107

How much rates vary

Facilitymedian $100 · 10th to 90th $68 to $126Professionalmedian $79 · 10th to 90th $33 to $195
$50$100$200$500facility $100professional $79

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
Professional
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$107.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$194.98
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$151.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$77.62

Where Montana 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.

Montana· 7th of 51

$100

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.