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Knee Orthosis, Single Upright, Custom Fabricated

Kentucky 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?

$1,000

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,000 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,000$871 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,000$977 to $2,042

How much rates vary

Facilitymedian $1,000 · 10th to 90th $813 to $2,754Professionalmedian $1,000 · 10th to 90th $851 to $1,175
$1K$2K$5K$10Kfacility $1,000professional $1,000

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,905.46
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,122.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,570.40
Typical High
$3,311.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,348.96
Typical High
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,380.38

Where Kentucky 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.

Kentucky· 36th of 51

$1,000

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.