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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Iowa 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?

$759

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $891 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 8 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$708$537 to $1,072
FacilityA hospital or hospital-owned outpatient department$891$676 to $1,660

How much rates vary

Facilitymedian $891 · 10th to 90th $562 to $2,884Professionalmedian $708 · 10th to 90th $479 to $1,514
$500$1K$2K$5Kfacility $891professional $708

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
$588.84
Median
$758.58
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,659.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,348.96
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,230.27
Typical High
$1,621.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$1,778.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$870.96
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$562.34
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,071.52

Where Iowa sits

The same service costs 3.4 times more in Hawaii than in Washington, DC. 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.

Iowa· 13th of 51

$759

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.