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Knee Orthosis, Single Upright, Custom Fitted

Florida 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 $550 · 10th–90th $316$2,0420%20%10th90th$550Professionalmedian $550 · 10th–90th $447$9550%20%10th90th$550$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
$316.23
Median
$467.74
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,000.00
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
AvMed
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$660.69
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$724.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,096.48