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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Utah 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?

$61.66

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $50.12 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 7 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$61.66$45.71 to $117
FacilityA hospital or hospital-owned outpatient department$50.12$33.11 to $102

How much rates vary

Facilitymedian $50 · 10th to 90th $33 to $102Professionalmedian $62 · 10th to 90th $33 to $537
$50$100$200$500facility $50professional $62

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
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$95.50
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$138.04
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$51.29
Typical High
$77.62

Where Utah 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.

Utah· 26th of 51

$61.66

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.