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Knee Orthosis, Anterior Cruciate Ligament, Custom Fabricated

South Carolina 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?

$589

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $692 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 5 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$589$550 to $813
FacilityA hospital or hospital-owned outpatient department$692$562 to $1,047

How much rates vary

Facilitymedian $692 · 10th to 90th $562 to $1,413Professionalmedian $589 · 10th to 90th $513 to $1,000
$500$1K$2Kfacility $692professional $589

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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,318.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$776.25

Where South Carolina 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.

South Carolina· 38th of 51

$589

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.