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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 October 2026.

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

$724

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,413 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$692$537 to $912
FacilityA hospital or hospital-owned outpatient department$1,413$977 to $2,042

How much rates vary

Facilitymedian $1,413 · 10th to 90th $741 to $2,570Professionalmedian $692 · 10th to 90th $468 to $912
$500$1K$2Kfacility $1,413professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$724.44
Typical High
$794.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$346.74
Median
$363.08
Typical High
$398.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$144.54
Typical High
$158.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$109.65
Typical High
$120.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$69.18
Median
$72.44
Typical High
$79.43
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,949.84
Typical High
$2,754.23
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$588.84
Typical High
$776.25

Where Louisiana sits

The same service costs 3.0 times more in Hawaii than in Vermont. 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.

Louisiana· 23rd of 51

$724

HI $1,622VT $537

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.