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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Kansas rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $331$1,1480%50%10th90th$832Professionalmedian $955 · 10th–90th $537$9550%50%10th$955$1.0$5.0$20.0$100.0$500.0$2.0K

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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$602.56
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$870.96
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$776.25
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$870.96
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$794.33