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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Tennessee rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $83 · 10th–90th $50$6030%20%10th90th$83Professionalmedian $51 · 10th–90th $47$890%20%10th90th$51$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$72.44