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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Alabama rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $389$1,2020%10%20%10th90th$692Professionalmedian $617 · 10th–90th $479$1,0720%20%10th90th$617$1.0$5.0$20.0$100.0$500.0$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
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$812.83