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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Kentucky 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?

$603

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $603 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$603$550 to $603
FacilityA hospital or hospital-owned outpatient department$603$575 to $1,202

How much rates vary

Facilitymedian $603 · 10th to 90th $468 to $1,622Professionalmedian $603 · 10th to 90th $513 to $708
$1.0$10.0$100.0$1.0Kfacility $603professional $603

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
$575.44
Median
$575.44
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$1,995.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$794.33

Where Kentucky 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.

Kentucky $603 · 34th 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.