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Replacement Molded Thigh Lacer

Tennessee rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $224$2,9510%20%10th90th$363Professionalmedian $224 · 10th–90th $204$3890%50%10th90th$224$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$208.93
Median
$223.87
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$331.13