go back

Knee Orthosis, Single Upright, Custom Fitted

Hawaii 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?

$1,072

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $741 to $1,122.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $708 to $832Professionalmedian $1,072 · 10th to 90th $661 to $1,148
$1Kfacility $832professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$575.44
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,412.54
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,148.15
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where Hawaii 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.

Hawaii· 5th of 51

$1,072

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.