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Knee Orthosis, Single Upright, Custom Fabricated

Hawaii rates for HCPCS L1844

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, custom fabricated

Rates data updated July 2026.

How much does Knee Orthosis, Single Upright, Custom Fabricated cost?

$2,138

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,175 to $2,138.

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 $1,175 · 10th to 90th $891 to $1,698Professionalmedian $2,138 · 10th to 90th $631 to $2,239
$1K$2Kfacility $1,175professional $2,138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$630.96
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$2,691.53
HMSA
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,238.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,630.27

Where Hawaii sits

The same service costs 2.9 times more in Hawaii than in Washington, DC. 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.

Hawaii· 1st of 51

$2,138

HI $2,138DC $741

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.