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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 October 2026.

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

$60.26

Typical negotiated rate. In New Jersey, October 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 $66.07 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$60.26$47.86 to $123
FacilityA hospital or hospital-owned outpatient department$66.07$47.86 to $66.07

How much rates vary

Facilitymedian $66 · 10th to 90th $47 to $117Professionalmedian $60 · 10th to 90th $42 to $123
$50$100facility $66professional $60

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
$41.69
Median
$41.69
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$52.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.42
Median
$20.42
Typical High
$26.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.32
Median
$8.32
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.17
Median
$6.17
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.07
Median
$4.07
Typical High
$5.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$162.18
Typical High
$162.18
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$61.66
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$64.57
Typical High
$117.49

Where New Jersey 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.

New Jersey· 38th of 51

$60.26

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.