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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Florida 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 Florida, 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 $589 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 7 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$501 to $891
FacilityA hospital or hospital-owned outpatient department$589$490 to $2,138

How much rates vary

Facilitymedian $589 · 10th to 90th $479 to $2,138Professionalmedian $589 · 10th to 90th $468 to $1,000
$1.0$10.0$100.0$1.0Kfacility $589professional $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
Facility
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$1,000.00
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
AvMed
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$691.83
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,148.15

Where Florida 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.

Florida $589 · 37th 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.