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Replacement Molded Thigh Lacer

Indiana rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $245$5370%20%40%10th90th$513Professionalmedian $257 · 10th–90th $219$3980%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
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$691.83
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
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$354.81