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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 October 2026.

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

$61.66

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $61.66 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$48.98 to $97.72
FacilityA hospital or hospital-owned outpatient department$66.07$33.11 to $91.20

How much rates vary

Facilitymedian $66 · 10th to 90th $33 to $98Professionalmedian $60 · 10th to 90th $47 to $129
$50$100$200facility $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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Molina
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$128.82
Typical High
$194.98
Providence
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$66.07
Typical High
$97.72
Providence
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$141.25
United
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$51.29
Typical High
$75.86

Where New Mexico 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 Mexico· 35th of 51

$61.66

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.