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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Maryland 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?

$537

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $479 to $617.

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.

How much rates vary

Facilitymedian $603 · 10th to 90th $389 to $1,175Professionalmedian $537 · 10th to 90th $479 to $1,000
$500$1K$2K$5Kfacility $603professional $537

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
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$954.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$812.83
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
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,000.00

Where Maryland 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.

Maryland· 49th of 51

$537

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.