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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 July 2026.

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

$708

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $1,000 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$708$525 to $955
FacilityA hospital or hospital-owned outpatient department$1,000$776 to $1,072

How much rates vary

Facilitymedian $1,000 · 10th to 90th $525 to $1,318Professionalmedian $708 · 10th to 90th $437 to $1,175
$200$500$1K$2Kfacility $1,000professional $708

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$977.24
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,023.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,174.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,621.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$549.54
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$691.83

Where Idaho sits

The same service costs 2.5 times more in Kansas than in Washington, DC. 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· 14th of 51

$708

KS $1,096DC $437

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.