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Knee Orthosis, Double Upright, Custom Fitted

Kentucky 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?

$525

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $617 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 7 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$525$490 to $589
FacilityA hospital or hospital-owned outpatient department$617$589 to $1,148

How much rates vary

Facilitymedian $617 · 10th to 90th $457 to $1,585Professionalmedian $525 · 10th to 90th $479 to $813
$500$1K$2Kfacility $617professional $525

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
$588.84
Median
$588.84
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,548.82
Typical High
$1,995.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$5,011.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$870.96

Where Kentucky 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.

Kentucky· 44th of 51

$525

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.