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Replacement Molded Thigh Lacer

Idaho rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $537 · 10th–90th $240$7760%20%10th90th$537Professionalmedian $417 · 10th–90th $191$6920%10%20%10th90th$417$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
$346.74
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$467.74
Typical High
$630.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$446.68
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$602.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$933.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$0.37
Median
$263.03
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$331.13