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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Arizona rates for HCPCS L1840

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

Rates data updated July 2026.

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

$589

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,175 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$513 to $692
FacilityA hospital or hospital-owned outpatient department$1,175$550 to $1,862

How much rates vary

Facilitymedian $1,175 · 10th to 90th $363 to $2,818Professionalmedian $589 · 10th to 90th $468 to $1,445
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,175professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,548.82
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,884.03
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
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$933.25
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,122.02
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$776.25

Where Arizona sits

The same service costs 3.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $589 · 40th of 51
HI $1,622DC $479

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.