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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.

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

$51.29

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $83.18 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 5 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$51.29$47.86 to $70.79
FacilityA hospital or hospital-owned outpatient department$83.18$52.48 to $603

How much rates vary

Facilitymedian $83 · 10th to 90th $50 to $603Professionalmedian $51 · 10th to 90th $47 to $89
$50$100$200$500$1Kfacility $83professional $51

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
$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

Where Tennessee 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.

Tennessee· 48th of 51

$51.29

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.