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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.

Facilitymedian $871 · 10th–90th $309$1,1750%20%10th90th$871Professionalmedian $1,096 · 10th–90th $513$1,0960%50%10th$1,096$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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