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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Oklahoma rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $62 · 10th–90th $56$1550%20%40%10th90th$62Professionalmedian $59 · 10th–90th $43$790%20%40%10th90th$59$20.0$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
$58.88
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
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
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$61.66
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$72.44