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Replacement Molded Thigh Lacer

North Dakota rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $347$7240%50%90th$347Professionalmedian $447 · 10th–90th $275$5890%20%10th90th$447$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
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$478.63
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$346.74
Typical High
$588.84