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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

California rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $468$2,7540%20%10th90th$603Professionalmedian $617 · 10th–90th $479$6,0260%20%40%10th90th$617$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$6,025.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$2,754.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,548.82
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,187.76
Typical High
$3,388.44
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,318.26
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,187.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$8,709.64
Typical High
$8,709.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,148.15
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,174.90
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$512.86
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,412.54