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Replacement KAFO Leather Cuff, Proximal Thigh

Wisconsin rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Rates data updated July 2026.

Facilitymedian $126 · 10th–90th $91$2510%50%10th90th$126Professionalmedian $115 · 10th–90th $62$2090%10%20%10th90th$115$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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$288.40
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$181.97
Typical High
$234.42
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$154.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$66.07
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Network Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$245.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$154.88
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$354.81
Quartz
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$251.19
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$186.21
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$117.49