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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Tennessee rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $513$6,7610%20%10th90th$891Professionalmedian $550 · 10th–90th $501$9550%50%10th90th$550$1.0$5.0$20.0$100.0$500.0$2.0K$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
$512.86
Median
$549.54
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$8,709.64
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$758.58