go back

Knee Orthosis, Single Upright, Custom Fitted

Vermont 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?

$525

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $513 to $851.

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.

How much rates vary

Facilitymedian $708 · 10th to 90th $316 to $776Professionalmedian $513 · 10th to 90th $513 to $871
$500$1K$2K$5Kfacility $708professional $513

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
Professional
Modifier
None
Typical Low
$323.59
Median
$512.86
Typical High
$660.69
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$707.95
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,023.29
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$794.33
Typical High
$2,137.96

Where Vermont 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.

Vermont· 43rd of 51

$525

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.