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Knee Orthosis, Single Upright, Custom Fitted

Colorado 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.

Facilitymedian $813 · 10th–90th $309$1,3800%20%10th90th$813Professionalmedian $575 · 10th–90th $457$8130%20%40%10th90th$575$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
$616.60
Median
$616.60
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,000.00
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$831.76
Typical High
$1,380.38
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$1,737.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$2,344.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$724.44