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Knee Orthosis, Double Upright, Custom Fabricated

Idaho 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 $1,349 · 10th–90th $724$1,8200%20%40%10th90th$1,349Professionalmedian $977 · 10th–90th $550$1,6220%10%20%10th90th$977$1.0$5.0$20.0$100.0$500.0$2.0K

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
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,230.27
Typical High
$1,621.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,230.27
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,412.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,479.11
Typical High
$2,238.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$724.44
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$891.25