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Knee Orthosis, Single Upright, Custom Fabricated

Michigan 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?

$1,072

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $2,455 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 7 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$1,072$933 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,455$1,047 to $4,898

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,047 to $7,413Professionalmedian $1,072 · 10th to 90th $871 to $1,862
$100$1K$10Kfacility $2,455professional $1,072

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
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,905.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$2,238.72
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,467.37
Typical High
$3,890.45
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$2,238.72
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,513.56
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,380.38

Where Michigan 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.

Michigan· 30th of 51

$1,072

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.