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Vermont rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Facilitymedian $309 · 10th–90th $229–$3720%50%10th90th$309Professionalmedian $245 · 10th–90th $191–$3390%20%10th90th$245$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $354.81
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $234.42 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $354.81 / $575.44