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Knee Orthosis, Single Upright, Custom Fitted

Kansas 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?

$1,096

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $871 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 5 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$1,096$617 to $1,096
FacilityA hospital or hospital-owned outpatient department$871$708 to $1,096

How much rates vary

Facilitymedian $871 · 10th to 90th $309 to $1,175Professionalmedian $1,096 · 10th to 90th $513 to $1,096
$500$1K$2K$5Kfacility $871professional $1,096

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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$741.31
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$870.96
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$776.25

Where Kansas 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.

Kansas· 1st of 51

$1,096

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.