go back

Knee Orthosis, Single Upright, Custom Fitted

Arkansas 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 July 2026.

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

$603

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $380,189 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 4 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$575$447 to $646
FacilityA hospital or hospital-owned outpatient department$380,189$1,318 to $758,578

How much rates vary

Facilitymedian $380,189 · 10th to 90th $603 to $891,251Professionalmedian $575 · 10th to 90th $324 to $832
$1K$10K$100K$1Mfacility $380,189professional $575

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
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$724.44

Where Arkansas sits

The same service costs 2.5 times more in Kansas 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.

Arkansas· 26th of 51

$603

KS $1,096DC $437

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.