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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

New York 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?

$61.66

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $72.44 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 9 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$56.23 to $100
FacilityA hospital or hospital-owned outpatient department$72.44$52.48 to $126

How much rates vary

Facilitymedian $72 · 10th to 90th $49 to $186Professionalmedian $62 · 10th to 90th $47 to $178
$100$1K$10Kfacility $72professional $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
$41.69
Median
$52.48
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$199.53
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$100.00
Typical High
$100.00
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$74.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$234.42
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$56.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$77.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$204.17
Univera
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$72.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$77.62

Where New York 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 York· 30th of 51

$61.66

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.