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New Hampshire rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Facilitymedian $513 · 10th–90th $282$6030%20%40%10th90th$513Professionalmedian $339 · 10th–90th $229$5370%20%10th90th$339$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
$281.84
Median
$281.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$436.52
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$724.44