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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

Mississippi 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?

$741

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $871 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$661$537 to $871
FacilityA hospital or hospital-owned outpatient department$871$741 to $871

How much rates vary

Facilitymedian $871 · 10th to 90th $692 to $871Professionalmedian $661 · 10th to 90th $490 to $912
$500$1Kfacility $871professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$758.58
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$323.59
Median
$380.19
Typical High
$512.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$128.82
Median
$151.36
Typical High
$204.17
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$95.50
Median
$112.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$64.57
Median
$75.86
Typical High
$102.33
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$912.01
United
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$691.83
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$524.81
Typical High
$741.31

Where Mississippi 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.

Mississippi· 20th of 51

$741

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.