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Knee Orthosis, Double Upright, Custom Fabricated

Maryland 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 $724 · 10th–90th $468$1,3800%10%10th90th$724Professionalmedian $661 · 10th–90th $550$1,2590%20%10th90th$661$500.0$1.0K$2.0K$5.0K

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
$630.96
Typical High
$1,258.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,071.52
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$1,174.90