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Knee Orthosis, Single Upright, Custom Fabricated

Tennessee 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?

$912

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,479 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 5 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$912$851 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,479$933 to $11,482

How much rates vary

Facilitymedian $1,479 · 10th to 90th $891 to $11,482Professionalmedian $912 · 10th to 90th $832 to $1,585
$1K$2K$5K$10Kfacility $1,479professional $912

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
$851.14
Median
$933.25
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$13,803.84
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,288.25

Where Tennessee 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.

Tennessee· 44th of 51

$912

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.