go back

Knee Orthosis, Single Upright, Custom Fitted

Tennessee 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 $851 · 10th–90th $479$5,1290%20%10th90th$851Professionalmedian $525 · 10th–90th $479$9120%20%40%10th90th$525$1.0$5.0$20.0$100.0$500.0$2.0K$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
Facility
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$562.34
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$724.44