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Replacement Molded Thigh Lacer

New Mexico rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $148$6030%10%10th90th$347Professionalmedian $275 · 10th–90th $229$7410%20%10th90th$275$100.0$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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$724.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$354.81
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$346.74