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Texas rates for HCPCS L1840

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

Facilitymedian $1,023 · 10th–90th $550$2,6920%10%10th90th$1,023Professionalmedian $589 · 10th–90th $513$8130%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $588.84 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $588.84 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $741.31
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,709.64 / $8,709.64
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $954.99 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $588.84 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $4,786.30 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $954.99 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $724.44 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,288.25 / $1,288.25