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Knee Orthosis, Double Upright, Custom Fabricated

Michigan 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?

$813

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,950 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 7 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$813$759 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,950$1,660 to $2,239

How much rates vary

Facilitymedian $1,950 · 10th to 90th $813 to $3,802Professionalmedian $813 · 10th to 90th $646 to $1,413
$500$1K$2K$5K$10Kfacility $1,950professional $813

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
$812.83
Median
$1,949.84
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,479.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,548.82
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,691.53
Typical High
$3,019.95
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$1,737.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,148.15
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$1,000.00

Where Michigan 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.

Michigan· 20th of 51

$813

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.