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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

North Dakota rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $71$1510%50%10th90th$74Professionalmedian $95 · 10th–90th $62$1230%20%10th90th$95$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$70.79
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$70.79
Typical High
$120.23