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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 October 2026.

How much does Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated cost?

$537

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $537 to $776.

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 $741 · 10th to 90th $646 to $813Professionalmedian $537 · 10th to 90th $537 to $912
$500$1K$2K$5Kfacility $741professional $537

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$831.76
Typical High
$2,187.76

Where Vermont sits

The same service costs 3.0 times more in Hawaii than in Vermont. 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· 51st of 51

$537

HI $1,622VT $537

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.