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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.

How much does Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh cost?

$107

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $123 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$100$61.66 to $132
FacilityA hospital or hospital-owned outpatient department$123$107 to $135

How much rates vary

Facilitymedian $123 · 10th to 90th $100 to $135Professionalmedian $100 · 10th to 90th $48 to $151
$50$100$200$500facility $123professional $100

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
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

Where Oregon 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.

Oregon· 4th of 51

$107

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.