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Replacement KAFO Leather Cuff, Proximal Thigh

Montana rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $115 · 10th–90th $79$1550%20%40%10th90th$115Professionalmedian $91 · 10th–90th $38$2240%20%10th90th$91$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$64.57
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$123.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$223.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$89.13