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Nationwide rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $257.04 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $281.84 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $295.12 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $380.19