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Knee Orthosis, Single Upright, Custom Fitted

Arizona 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?

$513

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,096 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$513$457 to $933
FacilityA hospital or hospital-owned outpatient department$1,096$617 to $1,905

How much rates vary

Facilitymedian $1,096 · 10th to 90th $309 to $5,012Professionalmedian $513 · 10th to 90th $427 to $5,495
$500$1K$2K$5Kfacility $1,096professional $513

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
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$1,258.93
Typical High
$1,905.46
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$933.25
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Medica
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$1,047.13
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$575.44
Typical High
$5,495.41
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$478.63
Typical High
$724.44

Where Arizona 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.

Arizona· 50th of 51

$513

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.