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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.

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

$977

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,230 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$832$741 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,230$1,047 to $1,318

How much rates vary

Facilitymedian $1,230 · 10th to 90th $832 to $1,549Professionalmedian $832 · 10th to 90th $575 to $1,549
$100$200$500$1K$2K$5Kfacility $1,230professional $832

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
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

Where Montana 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.

Montana· 11th of 51

$977

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.