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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.

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

$977

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,349 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$977$661 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,349$1,047 to $1,413

How much rates vary

Facilitymedian $1,349 · 10th to 90th $724 to $1,820Professionalmedian $977 · 10th to 90th $550 to $1,622
$500$1K$2Kfacility $1,349professional $977

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
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

Where Idaho sits

The same service costs 3.5 times more in Hawaii 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.

Idaho· 13th of 51

$977

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.