go back

Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Montana 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?

$1,023

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $1,023 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 5 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$794$550 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,023$871 to $1,096

How much rates vary

Facilitymedian $1,023 · 10th to 90th $741 to $1,413Professionalmedian $794 · 10th to 90th $331 to $1,995
$100$200$500$1K$2K$5Kfacility $1,023professional $794

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
$331.13
Median
$588.84
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,995.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$812.83
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$794.33

Where Montana 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.

Montana· 5th of 51

$1,023

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.