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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.

Facilitymedian $52 · 10th–90th $52$1450%50%90th$52Professionalmedian $51 · 10th–90th $42$660%20%40%10th90th$51$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
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