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Knee Orthosis, Single Upright, Custom Fitted

Kentucky 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?

$550

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $708 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$537$513 to $603
FacilityA hospital or hospital-owned outpatient department$708$603 to $1,096

How much rates vary

Facilitymedian $708 · 10th to 90th $355 to $1,514Professionalmedian $537 · 10th to 90th $457 to $891
$500$1K$2K$5Kfacility $708professional $537

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
$354.81
Median
$575.44
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$575.44
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,096.48
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$524.81
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$45.71
Median
$45.71
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$199.53
Median
$199.53
Typical High
$436.52
CareSource
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$977.24
Typical High
$1,584.89
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$707.95
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$489.78
Typical High
$724.44

Where Kentucky 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.

Kentucky· 37th of 51

$550

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.