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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 October 2026.

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

$589

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $977 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$513 to $759
FacilityA hospital or hospital-owned outpatient department$977$871 to $1,096

How much rates vary

Facilitymedian $977 · 10th to 90th $708 to $1,778Professionalmedian $589 · 10th to 90th $457 to $1,096
$500$1K$2K$5Kfacility $977professional $589

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
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$588.84
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$45.71
Median
$58.88
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$199.53
Median
$436.52
Typical High
$588.84
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$707.95
Typical High
$5,248.07
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,187.76
Typical High
$3,388.44
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$912.01
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$537.03
Typical High
$794.33

Where Indiana 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.

Indiana· 32nd of 51

$589

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.