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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

New York rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $724 · 10th–90th $513$1,7780%20%10th90th$724Professionalmedian $661 · 10th–90th $468$1,7380%20%10th90th$661$1.0$10.0$100.0$1.0K$10.0K

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
$398.11
Median
$562.34
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,995.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$977.24
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$776.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$4,570.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$2,238.72
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$741.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$776.25
Typical High
$1,905.46
Univera
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$741.31