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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Delaware rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $1$7410%50%10th90th$676Professionalmedian $513 · 10th–90th $479$5,2480%20%40%10th90th$513$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$5,248.07
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
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$645.65
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$870.96