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Replacement Molded Thigh Lacer

Massachusetts rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $219$2,9510%20%10th90th$355Professionalmedian $437 · 10th–90th $219$6760%20%40%10th90th$437$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$776.25
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$2,951.21
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$389.05
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$363.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$660.69
Health New England
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$2,951.21
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$389.05
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$416.87
Typical High
$478.63