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Knee Orthosis, Single Upright, Custom Fitted

Montana 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?

$871

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,072 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$724$479 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,072$832 to $1,148

How much rates vary

Facilitymedian $1,072 · 10th to 90th $708 to $1,349Professionalmedian $724 · 10th to 90th $309 to $1,349
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,072professional $724

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
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,148.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$2,089.30
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,023.29
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$870.96
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$741.31

Where Montana sits

The same service costs 2.5 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $871 · 9th of 51
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.