go back

Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Louisiana rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $1,047 · 10th–90th $617$2,2910%20%10th90th$1,047Professionalmedian $692 · 10th–90th $468$9120%20%10th90th$692$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
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,047.13
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$776.25