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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Oregon rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $123 · 10th–90th $100$1350%20%40%10th90th$123Professionalmedian $100 · 10th–90th $48$1510%10%20%10th90th$100$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$91.20
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
$48.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$223.87
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$138.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$151.36
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$134.90
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$151.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$117.49
Typical High
$141.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$537.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$50.12
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$97.72