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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.

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

$955

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $759 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$977$759 to $1,148
FacilityA hospital or hospital-owned outpatient department$759$759 to $794

How much rates vary

Facilitymedian $759 · 10th to 90th $759 to $1,549Professionalmedian $977 · 10th to 90th $617 to $1,259
$500$1K$2K$5Kfacility $759professional $977

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
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

Where North Dakota 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.

North Dakota· 7th of 51

$955

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.