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Knee Orthosis, Double Upright, Custom Fabricated

Nebraska 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 $1,288 · 10th–90th $631$6,6070%20%10th90th$1,288Professionalmedian $617 · 10th–90th $589$1,1750%50%10th90th$617$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
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,621.81
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,388.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$3,388.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,023.29
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$977.24