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Replacement KAFO Leather Cuff, Proximal Thigh

California rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $54$3090%20%10th90th$68Professionalmedian $71 · 10th–90th $54$6760%20%10th90th$71$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$177.83
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$245.47
Typical High
$380.19
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$74.13
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$257.04
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$128.82
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$151.36
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$57.54
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$162.18