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Replacement Molded Thigh Lacer

Arizona rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $525 · 10th–90th $162$1,3490%10%10th90th$525Professionalmedian $257 · 10th–90th $191$6460%20%10th90th$257$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
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$691.83
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,288.25
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
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$416.87
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$501.19
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$346.74