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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Vermont 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?

$617

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $537 to $741.

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.

How much rates vary

Facilitymedian $676 · 10th to 90th $389 to $741Professionalmedian $550 · 10th to 90th $537 to $741
$500$1K$2Kfacility $676professional $550

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
$537.03
Median
$537.03
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$794.33
Typical High
$2,187.76

Where Vermont 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.

Vermont· 29th of 51

$617

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.