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Knee Orthosis, Single Upright, Custom Fitted

Idaho 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?

$933

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,023 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$933$708 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,023$891 to $1,318

How much rates vary

Facilitymedian $1,023 · 10th to 90th $676 to $1,698Professionalmedian $933 · 10th to 90th $479 to $1,349
$100$1K$10Kfacility $1,023professional $933

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
Professional
Modifier
None
Typical Low
$616.60
Median
$933.25
Typical High
$933.25
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,698.24
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,174.90
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$707.95
Median
$794.33
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Moda Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$933.25
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$776.25
Typical High
$912.01
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,348.96
Typical High
$64,565.42
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$75,857.76
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,548.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,122.02
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,380.38
Select Health
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$478.63
Typical High
$707.95

Where Idaho 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.

Idaho· 11th of 51

$933

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.