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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.

Facilitymedian $66 · 10th–90th $52$1450%20%10th90th$66Professionalmedian $52 · 10th–90th $50$930%20%40%10th90th$52$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
$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