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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 October 2026.

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

$1,047

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $794 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$759 to $1,230
FacilityA hospital or hospital-owned outpatient department$794$794 to $794

How much rates vary

Facilitymedian $794 · 10th to 90th $708 to $2,399Professionalmedian $1,047 · 10th to 90th $479 to $1,259
$500$1K$2K$5Kfacility $794professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$758.58
Typical High
$794.33
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,230.27
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,258.93
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$537.03
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$537.03
Typical High
$870.96

Where North Dakota 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.

North Dakota· 8th of 51

$1,047

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.