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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Idaho 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?

$851

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,096 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$813$550 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,096$851 to $1,202

How much rates vary

Facilitymedian $1,096 · 10th to 90th $562 to $1,514Professionalmedian $813 · 10th to 90th $479 to $1,349
$1.0$10.0$100.0$1.0Kfacility $1,096professional $813

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
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,000.00
Typical High
$1,348.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,047.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$1,174.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,348.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$1,862.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$602.56
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$741.31

Where Idaho 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.

Idaho $851 · 12th 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.