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Replacement Molded Thigh Lacer

Rhode Island rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $288$1,1750%10%10th90th$832Professionalmedian $263 · 10th–90th $219$3390%20%10th90th$263$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$416.87