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Knee Orthosis, Single Upright, Custom Fitted

Ohio 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.

Facilitymedian $1,096 · 10th–90th $575$1,7380%20%40%10th90th$1,096Professionalmedian $575 · 10th–90th $457$1,1220%20%40%10th90th$575$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$2,344.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,445.44
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,318.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$776.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$575.44
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$891.25
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$758.58