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Knee Orthosis, Single Upright, Custom Fabricated

Ohio 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?

$1,047

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,862 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 9 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$977$871 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,862$1,738 to $2,042

How much rates vary

Facilitymedian $1,862 · 10th to 90th $977 to $3,162Professionalmedian $977 · 10th to 90th $851 to $1,862
$1K$2K$5Kfacility $1,862professional $977

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
$1,737.80
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$2,454.71
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,584.89
Typical High
$2,238.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,318.26
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,258.93
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,621.81
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,513.56
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,380.38

Where Ohio 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.

Ohio· 34th of 51

$1,047

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.