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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Missouri 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?

$646

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $871 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$562 to $759
FacilityA hospital or hospital-owned outpatient department$871$631 to $1,072

How much rates vary

Facilitymedian $871 · 10th to 90th $550 to $1,862Professionalmedian $631 · 10th to 90th $525 to $1,288
$500$1K$2K$5Kfacility $871professional $631

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$6,025.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$3,801.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$1,000.00

Where Missouri 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.

Missouri· 25th of 51

$646

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.