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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.

How much does Knee Orthosis, Double Upright, Custom Fabricated cost?

$776

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,023 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$759$661 to $871
FacilityA hospital or hospital-owned outpatient department$1,023$759 to $1,288

How much rates vary

Facilitymedian $1,023 · 10th to 90th $661 to $2,138Professionalmedian $759 · 10th to 90th $603 to $1,413
$500$1K$2K$5Kfacility $1,023professional $759

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
$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

Where Missouri 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.

Missouri· 27th of 51

$776

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.