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Knee Orthosis, Double Upright, Custom Fitted

Massachusetts 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?

$851

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,202 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 9 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$851$479 to $851
FacilityA hospital or hospital-owned outpatient department$1,202$813 to $1,479

How much rates vary

Facilitymedian $1,202 · 10th to 90th $427 to $1,778Professionalmedian $851 · 10th to 90th $427 to $1,349
$100$200$500$1K$2K$5Kfacility $1,202professional $851

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
$398.11
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$1,513.56
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$4,897.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$758.58
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,288.25
Health New England
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$4,897.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$758.58
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$812.83
Typical High
$933.25

Where Massachusetts 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.

Massachusetts· 7th of 51

$851

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.