go back

Alabama rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $269.15 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $331.13