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North Carolina rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Facilitymedian $398 · 10th–90th $200–$1,0720%20%10th90th$398Professionalmedian $324 · 10th–90th $204–$3980%20%10th90th$324$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $288.40 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $380.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $239.88 / $309.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $398.11 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $229.09 / $346.74
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,073.80