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Knee Orthosis, Double Upright, Custom Fitted

Vermont 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?

$550

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $479 to $724.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $468 · 10th to 90th $347 to $631Professionalmedian $550 · 10th to 90th $479 to $794
$500$1K$2Kfacility $468professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$1,995.26

Where Vermont 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.

Vermont· 35th of 51

$550

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.