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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

North Dakota rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $759$1,5490%50%90th$759Professionalmedian $977 · 10th–90th $617$1,2590%10%20%10th90th$977$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
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,023.29
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$1,318.26