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Knee Orthosis, Single Upright, Custom Fitted

Utah 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?

$692

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $661 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$661$468 to $794
FacilityA hospital or hospital-owned outpatient department$708$309 to $1,096

How much rates vary

Facilitymedian $708 · 10th to 90th $309 to $1,096Professionalmedian $661 · 10th to 90th $309 to $1,000
$100$200$500$1Kfacility $708professional $661

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
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
Molina
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$794.33
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,659.59
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Select Health
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,071.52
Typical High
$1,122.02
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$891.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$478.63
Typical High
$870.96

Where Utah 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.

Utah· 23rd of 51

$692

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.