go back

Knee Orthosis, Single Upright, Custom Fitted

Mississippi 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 $851 · 10th–90th $479$1,3180%20%10th90th$851Professionalmedian $603 · 10th–90th $490$1,0230%10%20%10th90th$603$50.0$100.0$200.0$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
$645.65
Median
$645.65
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$891.25
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$741.31