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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 October 2026.

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

$617

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $708 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$479 to $759
FacilityA hospital or hospital-owned outpatient department$708$537 to $1,122

How much rates vary

Facilitymedian $708 · 10th to 90th $309 to $2,042Professionalmedian $617 · 10th to 90th $457 to $1,413
$500$1K$2Kfacility $708professional $617

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
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$616.60
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$562.34
Typical High
$812.83
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
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$616.60
Typical High
$1,318.26
Denver HMP
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,445.44
Typical High
$2,137.96
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$2,041.74
Typical High
$2,344.23
Select Health
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$1,584.89
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$478.63
Typical High
$724.44
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$58.88
Median
$457.09
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$331.13
Median
$331.13
Typical High
$436.52

Where Colorado 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.

Colorado· 29th of 51

$617

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.