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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Rhode Island 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?

$57.54

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $195 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 4 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$57.54$51.29 to $70.79
FacilityA hospital or hospital-owned outpatient department$195$69.18 to $245

How much rates vary

Facilitymedian $195 · 10th to 90th $66 to $275Professionalmedian $58 · 10th to 90th $51 to $78
$50$100$200$500facility $195professional $58

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$97.72

Where Rhode Island 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.

Rhode Island· 38th of 51

$57.54

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.