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Replacement Molded Thigh Lacer

Iowa rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $229$1,2880%10%20%10th90th$389Professionalmedian $309 · 10th–90th $191$7240%20%10th90th$309$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
Facility
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$707.95
Midlands
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$251.19
Typical High
$501.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$467.74