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Replacement KAFO Leather Cuff, Proximal Thigh

Texas rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $59$2880%10%10th90th$100Professionalmedian $63 · 10th–90th $54$1050%20%40%10th90th$63$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
$58.88
Median
$61.66
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$74.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,096.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$173.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$158.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$67.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$107.15
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$134.90
Typical High
$181.97