go back

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 October 2026.

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

$513

Typical negotiated rate. In Florida, 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 $2,042 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$447 to $575
FacilityA hospital or hospital-owned outpatient department$2,042$708 to $2,042

How much rates vary

Facilitymedian $2,042 · 10th to 90th $708 to $2,042Professionalmedian $513 · 10th to 90th $347 to $1,096
$500$1K$2Kfacility $2,042professional $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
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$501.19
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$870.96
AvMed
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
AvMed
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,096.48
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
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$1,096.48
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$346.74
Typical High
$380.19
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$537.03
Typical High
$660.69
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$1,096.48

Where Florida 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.

Florida· 49th 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.