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Knee Orthosis, Single Upright, Custom Fitted

Oregon 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 $1,023 · 10th–90th $794$1,0720%50%10th90th$1,023Professionalmedian $708 · 10th–90th $479$1,1750%10%20%10th90th$708$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$758.58
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
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$2,137.96
Typical High
$2,570.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,148.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,071.52
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$933.25
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$4,168.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$478.63
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$912.01