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Replacement Molded Thigh Lacer

Michigan rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $275$2,0420%10%20%10th90th$631Professionalmedian $288 · 10th–90th $224$5130%20%10th90th$288$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
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,513.56
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$524.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$416.87
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$954.99
Typical High
$1,071.52
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$616.60
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$407.38
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$354.81