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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $105 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 8 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$57.54$51.29 to $70.79
FacilityA hospital or hospital-owned outpatient department$105$69.18 to $105

How much rates vary

Facilitymedian $105 · 10th to 90th $51 to $132Professionalmedian $58 · 10th to 90th $45 to $102
$50$200$1K$5Kfacility $105professional $58

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
$41.69
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$128.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$147.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$131.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$131.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$302.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$83.18

Where Virginia 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.

Virginia· 28th 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.