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Replacement KAFO Leather Cuff, Proximal Thigh

New Hampshire rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $74$1660%20%10th90th$135Professionalmedian $81 · 10th–90th $63$1170%20%10th90th$81$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
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$69.18
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$117.49
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$190.55