go back

Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

New Mexico rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $794 · 10th–90th $331$1,2880%10%10th90th$794Professionalmedian $617 · 10th–90th $513$1,9050%20%10th90th$617$100.0$200.0$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$912.01
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$776.25