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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.

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

$93.33

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $74.13 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$95.50$74.13 to $112
FacilityA hospital or hospital-owned outpatient department$74.13$70.79 to $74.13

How much rates vary

Facilitymedian $74 · 10th to 90th $71 to $151Professionalmedian $95 · 10th to 90th $62 to $123
$50$100$200$500facility $74professional $95

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
$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

Where North Dakota 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.

North Dakota· 10th of 51

$93.33

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.