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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.

Facilitymedian $603 · 10th–90th $389$1,1750%10%10th90th$603Professionalmedian $537 · 10th–90th $479$1,0000%20%10th90th$537$500.0$1.0K$2.0K$5.0K

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
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