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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 October 2026.

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

$1,230

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,318 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$759 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,318$1,288 to $74,131

How much rates vary

Facilitymedian $1,318 · 10th to 90th $933 to $75,858Professionalmedian $1,230 · 10th to 90th $79 to $1,413
$100$1K$10K$100Kfacility $1,318professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$758.58
Typical High
$1,348.96
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,621.81
Typical High
$75,857.76
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$79,432.82
Providence
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,318.26
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$630.96
Typical High
$1,047.13

Where Montana sits

The same service costs 3.2 times more in Hawaii than in Delaware. 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.

Montana· 9th of 51

$1,230

HI $1,950DE $617

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.