go back

Knee Orthosis, Single Upright, Custom Fitted

Maryland 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 $437 · 10th–90th $245$7080%20%10th90th$437Professionalmedian $513 · 10th–90th $437$9120%20%10th90th$513$500.0$1.0K$2.0K$5.0K

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
$245.47
Median
$245.47
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$891.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
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
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$912.01