Replacement thigh lacer for custom orthosis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Replace molded thigh lacer

Payers reporting HCPCS L4040

Payer pricing summary

Low

$162

Average

$612

Median

$540

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +9 other terms	359	$495	$605	$363	60%	—	$234 – $4.2k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	356	$487	$504	$156	31%	—	$229 – $2.1k
3	Humana fee schedule · outpatient · +9 other terms	317	$485	$739	$798	108%	—	$262 – $3.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	218	$493	$687	$389	57%	—	$0 – $2.4k
5	WellCare fee schedule · outpatient · +5 other terms	208	$504	$528	$106	20%	—	$460 – $1.1k
6	Devoted fee schedule · outpatient · +3 other terms	165	$490	$490	$17	3%	—	$469 – $638
7	Molina fee schedule · outpatient · +4 other terms	138	$726	$704	$267	38%	—	$288 – $1.3k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$493	$496	$18	4%	—	$469 – $644
9	Cigna fee schedule · outpatient · +7 other terms	102	$493	$576	$183	32%	—	$460 – $1.5k
10	Anthem fee schedule · outpatient · +6 other terms	80	$488	$682	$680	100%	—	$271 – $3.8k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$499	$957	$763	80%	—	$470 – $4.6k
12	Superior Healthplan fee schedule · outpatient	40	$518	$518	$2	0%	—	$484 – $518
13	Clover fee schedule · outpatient · +2 other terms	37	$544	$523	$31	6%	—	$469 – $625
14	Oscar fee schedule · outpatient · +4 other terms	36	$493	$591	$187	32%	—	$483 – $1.1k
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$919	$943	$167	18%	—	$460 – $1.2k
16	Optum fee schedule · outpatient · +2 other terms	33	$473	$639	$265	41%	—	$469 – $1.2k
17	Caresource fee schedule · outpatient · +5 other terms	28	$469	$520	$158	30%	—	$271 – $789
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$509	$528	$32	6%	—	$490 – $599
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$563	$549	$26	5%	—	$483 – $563
20	Bcbs Tx fee schedule · outpatient	18	$484	$484	—	—	—	$484 – $484
21	Medicare fee schedule · outpatient · +1 other terms	18	$470	$472	$4	1%	—	$470 – $480
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$510	$589	$146	25%	—	$278 – $806
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$464	$464	$108	23%	—	$226 – $544
24	Wellmark fee schedule · both · +1 other terms	13	$461	$458	$14	3%	—	$371 – $461
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$270	$349	$94	27%	—	$270 – $460

Page 1 of 3 · 53 payers