go back

Knee Orthosis, Rigid, without Joint, Custom Fabricated

Wisconsin rates for HCPCS L1834

Knee orthosis (KO), without knee joint, rigid, custom fabricated

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $692$1,6220%50%10th90th$891Professionalmedian $832 · 10th–90th $437$1,4790%20%10th90th$832$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,041.74
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,288.25
Typical High
$1,698.24
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,096.48
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$870.96
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$446.68
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,737.80
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,096.48
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$1,096.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,630.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,819.70
Typical High
$4,786.30
Quartz
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,318.26
Typical High
$5,370.32
Security Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$851.14