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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Nevada rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $468 · 10th–90th $468$1,4130%50%90th$468Professionalmedian $550 · 10th–90th $468$1,9050%20%10th90th$550$10.0$50.0$200.0$1.0K$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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$478.63
Typical High
$6,025.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$912.01
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,412.54
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,548.82