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Knee Orthosis, Double Upright, Custom Fitted

Hawaii 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?

$1,023

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $550 to $1,023.

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.

How much rates vary

Facilitymedian $575 · 10th to 90th $457 to $794Professionalmedian $1,023 · 10th to 90th $513 to $1,072
$500$1Kfacility $575professional $1,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,258.93
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,258.93

Where Hawaii 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.

Hawaii· 2nd of 51

$1,023

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.