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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Rhode Island 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?

$631

Typical negotiated rate. In Rhode Island, July 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 $1,820 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 4 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$617$513 to $646
FacilityA hospital or hospital-owned outpatient department$1,820$741 to $2,291

How much rates vary

Facilitymedian $1,820 · 10th to 90th $631 to $2,570Professionalmedian $617 · 10th to 90th $479 to $741
$500$1K$2K$5Kfacility $1,820professional $617

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$912.01

Where Rhode Island 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.

Rhode Island· 27th of 51

$631

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.