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Knee Orthosis, Single Upright, Custom Fitted

New Jersey 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?

$525

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $708 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$525$417 to $1,072
FacilityA hospital or hospital-owned outpatient department$708$363 to $708

How much rates vary

Facilitymedian $708 · 10th to 90th $316 to $1,072Professionalmedian $525 · 10th to 90th $363 to $1,072
$500$1Kfacility $708professional $525

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
$363.08
Median
$363.08
Typical High
$416.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,412.54
Typical High
$1,412.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$562.34
Typical High
$1,023.29

Where New Jersey 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.

New Jersey· 42nd of 51

$525

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.