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Knee Orthosis, Single Upright, Custom Fitted

Missouri 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 Missouri, 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 $1,047 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$457 to $646
FacilityA hospital or hospital-owned outpatient department$1,047$708 to $3,981

How much rates vary

Facilitymedian $1,047 · 10th to 90th $562 to $5,012Professionalmedian $537 · 10th to 90th $398 to $1,000
$500$1K$2K$5Kfacility $1,047professional $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
$562.34
Median
$562.34
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$588.84
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$549.54
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$199.53
Median
$436.52
Typical High
$741.31
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Medica
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,071.52
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$537.03
Typical High
$5,495.41
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$537.03
Typical High
$812.83
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$45.71
Median
$45.71
Typical High
$457.09

Where Missouri 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.

Missouri· 35th 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.