go back

Knee Orthosis, Double Upright, Custom Fitted

Montana 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?

$891

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $933 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 6 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$741$525 to $933
FacilityA hospital or hospital-owned outpatient department$933$794 to $1,148

How much rates vary

Facilitymedian $933 · 10th to 90th $631 to $2,818Professionalmedian $741 · 10th to 90th $363 to $1,072
$100$1K$10K$100Kfacility $933professional $741

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
$295.12
Median
$549.54
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,000.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,819.70
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$741.31
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$707.95

Where Montana 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.

Montana· 4th of 51

$891

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.