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Replacement Molded Thigh Lacer

Georgia rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $219$1,7380%10%20%10th90th$468Professionalmedian $282 · 10th–90th $219$4470%20%10th90th$282$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$218.78
Median
$218.78
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,122.02
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$630.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$446.68