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Knee Orthosis, Single Upright, Custom Fitted

Indiana 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?

$562

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,096 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 6 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$550$513 to $589
FacilityA hospital or hospital-owned outpatient department$1,096$589 to $1,096

How much rates vary

Facilitymedian $1,096 · 10th to 90th $537 to $1,349Professionalmedian $550 · 10th to 90th $457 to $891
$500$1K$2Kfacility $1,096professional $550

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
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$1,047.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,621.81
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
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$758.58

Where Indiana 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.

Indiana· 38th of 51

$562

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.