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Replacement KAFO Leather Cuff, Proximal Thigh

New Mexico rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $89 · 10th–90th $38$1550%10%10th90th$89Professionalmedian $71 · 10th–90th $55$2000%20%10th90th$71$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
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$181.97
Molina
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$97.72
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$89.13