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Replacement Molded Thigh Lacer

Utah rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Rates data updated July 2026.

Facilitymedian $229 · 10th–90th $148$4790%20%40%10th90th$229Professionalmedian $275 · 10th–90th $148$2,6920%10%20%10th90th$275$50.0$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
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$213.80
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
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$346.74
Typical High
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$478.63
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$630.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$354.81