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Knee Orthosis, Double Upright, Custom Fabricated

Iowa rates for HCPCS L1846

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, custom fabricated

Rates data updated July 2026.

Facilitymedian $1,047 · 10th–90th $617$3,5480%20%10th90th$1,047Professionalmedian $794 · 10th–90th $617$1,7780%20%10th90th$794$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,621.81
Typical High
$2,041.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,621.81
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,949.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$2,089.30
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,047.13
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,258.93