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Knee Orthosis, Double Upright, Custom Fabricated

Montana 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 $1,230 · 10th–90th $832$1,5490%20%10th90th$1,230Professionalmedian $832 · 10th–90th $575$1,5490%10%10th90th$832$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
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,398.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,000.00
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$954.99