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Knee Orthosis, Single Upright, Custom Fitted

Georgia 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 $1,096 · 10th–90th $513$4,0740%10%20%10th90th$1,096Professionalmedian $631 · 10th–90th $479$1,0960%20%10th90th$631$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$512.86
Median
$512.86
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,630.27
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
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
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$1,071.52