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Replacement Molded Thigh Lacer

New Jersey rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $186$5500%20%40%90th$186Professionalmedian $257 · 10th–90th $191$5500%10%10th90th$257$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
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$724.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$549.54