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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Nebraska 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?

$589

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,072 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 7 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$589$589 to $617
FacilityA hospital or hospital-owned outpatient department$1,072$676 to $1,202

How much rates vary

Facilitymedian $1,072 · 10th to 90th $513 to $5,495Professionalmedian $589 · 10th to 90th $457 to $871
$500.0$1.0K$2.0K$5.0Kfacility $1,072professional $589

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
$676.08
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,023.29
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,884.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$2,884.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$831.76

Where Nebraska sits

The same service costs 3.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $589 · 39th of 51
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.