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Replacement KAFO Leather Cuff, Proximal Thigh

Minnesota rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $105$1,0000%20%10th90th$209Professionalmedian $123 · 10th–90th $76$1410%50%10th90th$123$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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$181.97
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,000.00
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$123.03
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$58.88
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$173.78