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Replacement KAFO Leather Cuff, Proximal Thigh

Utah rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $38$1170%20%40%10th90th$59Professionalmedian $71 · 10th–90th $38$6760%10%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
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$58.88
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
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$109.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$117.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$177.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$120.23
Typical High
$158.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$72.44
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$58.88
Typical High
$89.13