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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

Vermont 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?

$63.10

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $57.54 to $75.86.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63 · 10th to 90th $38 to $66Professionalmedian $59 · 10th to 90th $58 to $76
$50$100$200facility $63professional $59

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$239.88

Where Vermont 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.

Vermont· 24th of 51

$63.10

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.