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Knee Orthosis, Single Upright, Custom Fitted

Oklahoma 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?

$575

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $537 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$575$490 to $955
FacilityA hospital or hospital-owned outpatient department$537$513 to $1,096

How much rates vary

Facilitymedian $537 · 10th to 90th $490 to $1,318Professionalmedian $575 · 10th to 90th $437 to $955
$500$1K$2K$5Kfacility $537professional $575

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
$489.78
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$891.25
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$691.83

Where Oklahoma 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.

Oklahoma· 31st of 51

$575

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.