go back

Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Texas rates for HCPCS L1840

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

Rates data updated July 2026.

Facilitymedian $955 · 10th–90th $550$2,6920%10%10th90th$955Professionalmedian $589 · 10th–90th $513$8510%50%10th90th$589$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
$562.34
Median
$588.84
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,288.25
Typical High
$1,288.25
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
$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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,584.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,047.13
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,288.25
Typical High
$1,737.80