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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.

How much does Knee Orthosis, Single Upright, Custom Fitted cost?

$1,072

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,862 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 6 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$1,072$871 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,862$1,072 to $4,074

How much rates vary

Facilitymedian $1,862 · 10th to 90th $933 to $8,913Professionalmedian $1,072 · 10th to 90th $617 to $1,259
$500$1K$2K$5K$10Kfacility $1,862professional $1,072

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
$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

Where Minnesota 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.

Minnesota· 3rd of 51

$1,072

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.