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Illinois rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Facilitymedian $562 · 10th–90th $257–$2,5700%20%10th90th$562Professionalmedian $257 · 10th–90th $209–$5370%20%10th90th$257$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $257.04 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $851.14 / $1,230.27
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $407.38 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $416.87