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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Alaska rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Rates data updated October 2026.

How much does Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated cost?

$1,413

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $1,259 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,413$1,148 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,259$741 to $1,413

How much rates vary

Facilitymedian $1,259 · 10th to 90th $741 to $1,514Professionalmedian $1,413 · 10th to 90th $617 to $1,738
$100$200$500$1K$2Kfacility $1,259professional $1,413

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$1,412.54
Typical High
$1,819.70
Moda Health
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,412.54
Typical High
$1,513.56
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,513.56
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$1,479.11
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$741.31
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$741.31
Typical High
$1,737.80
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$776.25
Typical High
$2,818.38

Where Alaska sits

The same service costs 3.0 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 2nd of 51

$1,413

HI $1,622VT $537

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.