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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.

How much does Knee Orthosis, Double Upright, Custom Fabricated cost?

$794

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $1,047 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$794$676 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,047$794 to $1,995

How much rates vary

Facilitymedian $1,047 · 10th to 90th $617 to $3,548Professionalmedian $794 · 10th to 90th $617 to $1,778
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,047professional $794

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
$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

Where Iowa sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $794 · 22nd of 51
HI $1,950DC $550

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.