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Knee Orthosis, Double Upright, Custom Fabricated

Ohio 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?

$794

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,380 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 9 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$759$661 to $955
FacilityA hospital or hospital-owned outpatient department$1,380$1,000 to $1,514

How much rates vary

Facilitymedian $1,380 · 10th to 90th $759 to $2,138Professionalmedian $759 · 10th to 90th $617 to $1,445
$500$1K$2K$5Kfacility $1,380professional $759

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
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,513.56
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,862.09
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,230.27
Typical High
$1,737.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$933.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$933.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,584.89
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,148.15
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,000.00

Where Ohio 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.

Ohio· 24th of 51

$794

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.