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Knee Orthosis, Double Upright, Custom Fabricated

Indiana 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 $1,445 · 10th–90th $692$1,6220%20%40%10th90th$1,445Professionalmedian $724 · 10th–90th $631$1,2590%50%10th90th$724$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
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,445.44
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,000.00