go back

Knee Orthosis, Single Upright, Custom Fitted

Massachusetts 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?

$933

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,318 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 9 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$891$513 to $933
FacilityA hospital or hospital-owned outpatient department$1,318$1,072 to $1,585

How much rates vary

Facilitymedian $1,318 · 10th to 90th $457 to $2,138Professionalmedian $891 · 10th to 90th $457 to $1,380
$100$200$500$1K$2K$5Kfacility $1,318professional $891

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
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$1,445.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$5,128.61
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,380.38
Health New England
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$5,128.61
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$870.96
Typical High
$1,000.00

Where Massachusetts 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.

Massachusetts· 6th of 51

$933

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.