go back

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.

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

$661

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $724 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 9 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$661$575 to $955
FacilityA hospital or hospital-owned outpatient department$724$603 to $1,202

How much rates vary

Facilitymedian $724 · 10th to 90th $513 to $1,778Professionalmedian $661 · 10th to 90th $468 to $1,738
$500$1K$2K$5K$10K$20K$50Kfacility $724professional $661

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
$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

Where New York sits

The same service costs 3.4 times more in Hawaii than in Washington, DC. 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 York· 22nd of 51

$661

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.