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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Connecticut rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $513$1,2020%10%20%10th90th$741Professionalmedian $562 · 10th–90th $468$1,0720%20%10th90th$562$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,318.26
Health New England
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$954.99