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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.

Facilitymedian $63 · 10th–90th $38$660%50%10th90th$63Professionalmedian $59 · 10th–90th $58$760%20%40%10th90th$59$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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