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Knee Orthosis, Double Upright, Custom Fitted

Ohio 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?

$589

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $832 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$550$490 to $708
FacilityA hospital or hospital-owned outpatient department$832$692 to $1,072

How much rates vary

Facilitymedian $832 · 10th to 90th $537 to $1,288Professionalmedian $550 · 10th to 90th $457 to $1,047
$500$1K$2Kfacility $832professional $550

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
$537.03
Median
$758.58
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$1,348.96
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$1,348.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$776.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$691.83
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$891.25
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$831.76
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$724.44

Where Ohio 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.

Ohio· 24th of 51

$589

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.