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Knee Orthosis, Double Upright, Custom Fitted

Florida 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?

$562

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $603 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 8 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$562$490 to $891
FacilityA hospital or hospital-owned outpatient department$603$490 to $2,138

How much rates vary

Facilitymedian $603 · 10th to 90th $490 to $2,138Professionalmedian $562 · 10th to 90th $468 to $1,000
$500$1K$2K$5Kfacility $603professional $562

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
$489.78
Median
$549.54
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$1,000.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$870.96
Typical High
$1,047.13
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
AvMed
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,137.96
Typical High
$2,137.96
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$691.83
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$707.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,148.15

Where Florida 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.

Florida· 32nd of 51

$562

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.