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Knee Orthosis, Double Upright, Custom Fitted

Idaho 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?

$676

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $912 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$457 to $871
FacilityA hospital or hospital-owned outpatient department$912$676 to $977

How much rates vary

Facilitymedian $912 · 10th to 90th $468 to $1,230Professionalmedian $646 · 10th to 90th $427 to $1,072
$500$1K$2Kfacility $912professional $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
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$831.76
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$933.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,479.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$467.74
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$660.69

Where Idaho 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.

Idaho· 12th of 51

$676

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.