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Knee Orthosis, Double Upright, Custom Fabricated

Massachusetts 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?

$1,288

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,778 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 9 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$1,259$708 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,778$1,380 to $2,239

How much rates vary

Facilitymedian $1,778 · 10th to 90th $631 to $2,630Professionalmedian $1,259 · 10th to 90th $631 to $2,138
$100$200$500$1K$2K$5Kfacility $1,778professional $1,259

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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$2,884.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$8,128.31
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,905.46
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$891.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,905.46
Health New England
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Health New England
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$8,128.31
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,174.90
Typical High
$1,380.38

Where Massachusetts 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.

Massachusetts· 4th of 51

$1,288

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.