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Knee Orthosis, Double Upright, Custom Fabricated

Missouri 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 $1,023 · 10th–90th $661$2,1380%20%10th90th$1,023Professionalmedian $759 · 10th–90th $603$1,4130%20%40%10th90th$759$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$660.69
Median
$660.69
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,288.25