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Knee Orthosis, Single Upright, Custom Fitted

Nebraska 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?

$692

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,202 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$631$513 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,202$1,175 to $1,202

How much rates vary

Facilitymedian $1,202 · 10th to 90th $708 to $5,012Professionalmedian $631 · 10th to 90th $407 to $1,549
$500$1K$2K$5Kfacility $1,202professional $631

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
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$691.83
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,174.90
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$537.03
Typical High
$891.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,290.87
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$2,951.21
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,344.23
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$537.03
Typical High
$724.44

Where Nebraska 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.

Nebraska· 24th of 51

$692

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.