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Knee Orthosis, Single Upright, Custom Fitted

Alaska rates for HCPCS L1843

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated October 2026.

How much does Knee Orthosis, Single Upright, Custom Fitted cost?

$1,023

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $933 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$794 to $1,023
FacilityA hospital or hospital-owned outpatient department$933$776 to $1,023

How much rates vary

Facilitymedian $933 · 10th to 90th $708 to $1,072Professionalmedian $1,023 · 10th to 90th $525 to $1,122
$500$1K$2Kfacility $933professional $1,023

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
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$1,148.15
Moda Health
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,023.29
Moda Health
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$1,023.29
Typical High
$1,071.52
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,071.52
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,023.29
Typical High
$1,047.13
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$933.25
Median
$1,023.29
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$707.95
Typical High
$1,288.25
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$724.44
Typical High
$2,630.27

Where Alaska sits

The same service costs 2.1 times more in Iowa than in New Hampshire. 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.

Alaska· 9th of 51

$1,023

IA $1,096NH $513

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.