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Knee Orthosis, Single Upright, Custom Fitted

North Dakota 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?

$912

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $794 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 5 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$912$741 to $1,202
FacilityA hospital or hospital-owned outpatient department$794$759 to $794

How much rates vary

Facilitymedian $794 · 10th to 90th $759 to $1,549Professionalmedian $912 · 10th to 90th $575 to $1,349
$500$1K$2K$5Kfacility $794professional $912

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
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$933.25
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$741.31
Typical High
$1,258.93

Where North Dakota 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.

North Dakota· 8th of 51

$912

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.