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Knee Orthosis, Double Upright, Custom Fitted

Iowa 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?

$661

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $794 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$646$525 to $1,023
FacilityA hospital or hospital-owned outpatient department$794$575 to $1,479

How much rates vary

Facilitymedian $794 · 10th to 90th $468 to $2,570Professionalmedian $646 · 10th to 90th $457 to $1,349
$500$1K$2K$5Kfacility $794professional $646

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
$691.83
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$1,479.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,445.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$1,548.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$912.01

Where Iowa 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.

Iowa· 14th of 51

$661

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.