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Replacement Molded Thigh Lacer

Alaska rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $148$7410%20%40%10th90th$275Professionalmedian $355 · 10th–90th $245$1,0470%20%10th90th$355$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$912.01
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$416.87
Typical High
$741.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,862.09
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$776.25
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$660.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$354.81
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$1,905.46