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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Ohio 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?

$58.88

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $105 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 8 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$54.95$50.12 to $70.79
FacilityA hospital or hospital-owned outpatient department$105$95.50 to $112

How much rates vary

Facilitymedian $105 · 10th to 90th $55 to $178Professionalmedian $55 · 10th to 90th $49 to $107
$50$100$200facility $105professional $55

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
$54.95
Median
$95.50
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$54.95
Typical High
$75.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$89.13
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$117.49
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$83.18
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$77.62

Where Ohio 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.

Ohio· 36th of 51

$58.88

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.