HCPCS L4040
Replace molded thigh lacer, for custom fabricated orthosis only
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $539 – $4,182 | — | — |
| Deaconess Medical Center | $748 – $2,603 | — | — |
| Harborview Medical Center | $1,001 – $1,251 | $766 | $1,094 |
| Kadlec Regional Medical Center | $943 – $1,757 | — | — |
| Mary Bridge Children's Hospital | $539 – $4,590 | — | — |
| MultiCare Auburn Medical Center | $524 – $2,702 | — | — |
| MultiCare Covington Medical Center | $524 – $2,702 | — | — |
| MultiCare Good Samaritan Hospital | $608 – $2,702 | — | — |
| MultiCare Valley Hospital | $599 – $2,597 | — | — |
| Overlake Hospital Medical Center & Clinics | $574 – $1,721 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $969 – $2,075 | — | — |
| Providence Centralia Hospital | $1,057 – $2,338 | — | — |
| Providence Regional Medical Center Everett | $751 – $1,451 | — | — |
| Providence St Peter Hospital | $532 – $2,042 | — | — |
| Swedish Edmonds Hospital | $938 – $2,294 | — | — |
| Swedish Issaquah | $938 – $1,388 | — | — |
| Swedish Medical Center | $938 – $2,234 | — | — |
| Swedish Medical Center / Cherry Hill | $938 – $2,234 | — | — |
| Tacoma General Allenmore Hospital | $524 – $2,702 | — | — |
| University of Washington Medical Ctr | $1,001 – $1,961 | $967 | $1,381 |
| Virginia Mason Medical Center | $599 – $2,175 | — | — |
| Wellfound Behavioral Health Hospital | $1,578 | — | — |
| Yakima Valley Memorial | $539 – $1,622 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $625 (fee)