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Knee Orthosis, Double Upright, Custom Fabricated

Mississippi 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 $1,122 · 10th–90th $631$1,6980%20%40%10th90th$1,122Professionalmedian $759 · 10th–90th $589$1,3490%10%20%10th90th$759$50.0$100.0$200.0$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
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
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
$616.60
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,174.90
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$977.24