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Replacement Molded Thigh Lacer

North Carolina rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $209$9550%20%10th90th$398Professionalmedian $355 · 10th–90th $209$3980%20%40%10th90th$355$0.5$5.0$50.0$500.0$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
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$354.81
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$346.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,073.80