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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 October 2026.

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

$631

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $741 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$513 to $955
FacilityA hospital or hospital-owned outpatient department$741$331 to $912

How much rates vary

Facilitymedian $741 · 10th to 90th $331 to $977Professionalmedian $617 · 10th to 90th $479 to $1,259
$500$1K$2Kfacility $741professional $617

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Molina
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$741.31
Typical High
$977.24
Providence
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$512.86
Typical High
$776.25

Where New Mexico sits

The same service costs 3.0 times more in Hawaii than in Vermont. 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.

New Mexico· 37th of 51

$631

HI $1,622VT $537

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.