go back

Knee Orthosis, Single Upright, Custom Fitted

West Virginia 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?

$550

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$513 to $708
FacilityA hospital or hospital-owned outpatient department$708$708 to $1,122

How much rates vary

Facilitymedian $708 · 10th to 90th $708 to $1,514Professionalmedian $550 · 10th to 90th $513 to $1,175
$500$1K$2K$5Kfacility $708professional $550

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
$524.81
Median
$549.54
Typical High
$549.54
CareSource
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
CareSource
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$5,248.07
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$602.56
Typical High
$1,174.90

Where West Virginia 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.

West Virginia· 36th of 51

$550

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.