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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Nebraska 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?

$60.26

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $132 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$60.26$60.26 to $61.66
FacilityA hospital or hospital-owned outpatient department$132$77.62 to $148

How much rates vary

Facilitymedian $132 · 10th to 90th $51 to $537Professionalmedian $60 · 10th to 90th $48 to $107
$50$100$200$500facility $132professional $60

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$131.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$354.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$102.33

Where Nebraska 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.

Nebraska· 35th of 51

$60.26

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.