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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.

Facilitymedian $78 · 10th–90th $33$1320%10%10th90th$78Professionalmedian $62 · 10th–90th $50$1950%10%20%10th90th$62$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
$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