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Knee Orthosis, Double Upright, Custom Fabricated

Kentucky 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?

$708

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $776 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 6 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$708$661 to $759
FacilityA hospital or hospital-owned outpatient department$776$741 to $1,549

How much rates vary

Facilitymedian $776 · 10th to 90th $562 to $1,995Professionalmedian $708 · 10th to 90th $646 to $891
$500$1K$2Kfacility $776professional $708

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
$741.31
Median
$741.31
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,949.84
Typical High
$2,511.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$954.99

Where Kentucky 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.

Kentucky· 39th of 51

$708

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.