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Replacement KAFO-AFO Metal Bands, Calf or Distal Thigh

West 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?

$51.29

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $52.48 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 4 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$51.29$48.98 to $52.48
FacilityA hospital or hospital-owned outpatient department$52.48$52.48 to $52.48

How much rates vary

Facilitymedian $52 · 10th to 90th $52 to $145Professionalmedian $51 · 10th to 90th $42 to $66
$50$100$200$500facility $52professional $51

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
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$51.29
Typical High
$52.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$144.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$50.12
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$85.11

Where West 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.

West Virginia· 45th of 51

$51.29

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.