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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 October 2026.

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

$562

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,148 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$562$537 to $631
FacilityA hospital or hospital-owned outpatient department$1,148$741 to $2,138

How much rates vary

Facilitymedian $1,148 · 10th to 90th $692 to $2,138Professionalmedian $562 · 10th to 90th $468 to $1,148
$500$1K$2Kfacility $1,148professional $562

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$512.86
Typical High
$616.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$234.42
Median
$257.04
Typical High
$309.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$104.71
Typical High
$123.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$70.79
Median
$77.62
Typical High
$93.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$46.77
Median
$51.29
Typical High
$61.66
AvMed
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
AvMed
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,148.15
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$630.96
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$691.83
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$562.34
Typical High
$691.83
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$1,148.15

Where Florida sits

The same service costs 3.0 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 48th of 51

$562

HI $1,622VT $537

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.