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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 October 2026.

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

$97.72

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $74.13 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$74.13 to $115
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $74.13

How much rates vary

Facilitymedian $74 · 10th to 90th $66 to $224Professionalmedian $98 · 10th to 90th $51 to $117
$50$100$200$500facility $74professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$74.13
Typical High
$74.13
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$114.82
Typical High
$114.82
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$102.33
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$117.49
Typical High
$147.91
Medica
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$74.13
Typical High
$537.03
Medica
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$56.23
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$56.23
Typical High
$85.11

Where North Dakota 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.

North Dakota· 14th of 51

$97.72

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.