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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

New Mexico 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?

$63.10

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $77.62 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$61.66$51.29 to $97.72
FacilityA hospital or hospital-owned outpatient department$77.62$51.29 to $110

How much rates vary

Facilitymedian $78 · 10th to 90th $33 to $132Professionalmedian $62 · 10th to 90th $50 to $195
$50$100$200$500facility $78professional $62

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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$128.82
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$91.20
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$75.86

Where New Mexico 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.

New Mexico· 25th of 51

$63.10

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.