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Knee Orthosis, Single Upright, Custom Fitted

Minnesota 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 $1,862 · 10th–90th $933$8,9130%20%10th90th$1,862Professionalmedian $1,072 · 10th–90th $617$1,2590%20%40%10th90th$1,072$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,073.80
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$1,584.89
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,466.84
Typical High
$8,912.51
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,071.52
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$478.63
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$1,513.56