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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Texas rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $52$2190%10%10th90th$95Professionalmedian $60 · 10th–90th $49$980%20%40%10th90th$60$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
$57.54
Median
$60.26
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$91.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$158.49
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$104.71
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$72.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$177.83