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New York rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Facilitymedian $437 · 10th–90th $234$1,0000%20%10th90th$437Professionalmedian $282 · 10th–90th $209$7760%20%10th90th$282$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$186.21 / $436.52 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $234.42 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $891.25
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $457.09 / $457.09
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $588.84
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $912.01 / $2,137.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $1,047.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $436.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $346.74 / $416.87
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $269.15 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $363.08 / $912.01
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $338.84 / $436.52
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $346.74 / $416.87