go back

Replacement KAFO Leather Cuff, Proximal Thigh

Idaho rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $69$1950%20%40%10th90th$141Professionalmedian $105 · 10th–90th $54$1780%10%20%10th90th$105$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$74.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$117.49
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$112.20
Typical High
$138.04
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$151.36
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$177.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$158.49
Typical High
$239.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$69.18
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$83.18