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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

South Carolina rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $562$1,4130%20%10th90th$692Professionalmedian $589 · 10th–90th $513$1,0000%20%10th90th$589$500.0$1.0K$2.0K$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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,318.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$776.25