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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.

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

$759

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,349 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 6 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$741$589 to $871
FacilityA hospital or hospital-owned outpatient department$1,349$589 to $2,291

How much rates vary

Facilitymedian $1,349 · 10th to 90th $589 to $5,754Professionalmedian $741 · 10th to 90th $537 to $1,148
$500$1K$2K$5K$10Kfacility $1,349professional $741

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
$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

Where Illinois 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.

Illinois· 14th 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.