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Knee Orthosis, Double Upright, Custom Fitted

Arizona rates for HCPCS L1845

Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

How much does Knee Orthosis, Double Upright, Custom Fitted cost?

$537

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $759 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$537$457 to $617
FacilityA hospital or hospital-owned outpatient department$759$295 to $1,175

How much rates vary

Facilitymedian $759 · 10th to 90th $200 to $1,820Professionalmedian $537 · 10th to 90th $372 to $933
$200$500$1K$2K$5Kfacility $759professional $537

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
$151.36
Median
$162.18
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,047.13
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$645.65
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$691.83

Where Arizona sits

The same service costs 2.3 times more in Wisconsin 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.

Arizona· 37th of 51

$537

WI $1,023DC $447

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.