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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 October 2026.

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

$1,072

Typical negotiated rate. In Montana, October 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 $1,148 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$513 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,148$1,122 to $63,096

How much rates vary

Facilitymedian $1,148 · 10th to 90th $776 to $64,565Professionalmedian $1,072 · 10th to 90th $79 to $1,230
$100$1K$10Kfacility $1,148professional $1,072

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
Professional
Modifier
None
Typical Low
$363.08
Median
$575.44
Typical High
$1,023.29
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,148.15
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,380.38
Typical High
$66,069.34
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$67,608.30
Providence
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$870.96
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$478.63
Typical High
$794.33

Where Montana 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.

Montana· 4th of 51

$1,072

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.