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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

South Carolina 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?

$56.23

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $66.07 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 6 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$52.48$52.48 to $91.20
FacilityA hospital or hospital-owned outpatient department$66.07$52.48 to $100

How much rates vary

Facilitymedian $66 · 10th to 90th $52 to $145Professionalmedian $52 · 10th to 90th $50 to $93
$50$100$200facility $66professional $52

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$64.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$169.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$63.10
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$74.13

Where South Carolina 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.

South Carolina· 40th of 51

$56.23

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.