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Replacement Molded Thigh Lacer

Maryland rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $269 · 10th–90th $174$4790%10%10th90th$269Professionalmedian $229 · 10th–90th $191$3980%20%10th90th$229$200.0$500.0$1.0K$2.0K

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
$218.78
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$398.11