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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

New Jersey rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $42 · 10th–90th $42$1230%20%40%90th$42Professionalmedian $55 · 10th–90th $43$1200%10%20%10th90th$55$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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$162.18
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$117.49