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Knee Orthosis, Double Upright, Custom Fitted

Virginia 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?

$562

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,122 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$550$537 to $692
FacilityA hospital or hospital-owned outpatient department$1,122$724 to $1,122

How much rates vary

Facilitymedian $1,122 · 10th to 90th $537 to $1,380Professionalmedian $550 · 10th to 90th $457 to $1,047
$500$1K$2K$5K$10Kfacility $1,122professional $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
$446.68
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$724.44
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$1,380.38
Sentara
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$2,398.83
Sentara
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$870.96

Where Virginia 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.

Virginia· 31st of 51

$562

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.