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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Illinois rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $1,349 · 10th–90th $589$5,7540%20%10th90th$1,349Professionalmedian $741 · 10th–90th $537$1,1480%20%40%10th90th$741$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,659.59
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$954.99