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Knee Orthosis, Double Upright, Custom Fabricated

Tennessee 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 $1,096 · 10th–90th $617$8,1280%20%10th90th$1,096Professionalmedian $676 · 10th–90th $617$1,2020%50%10th90th$676$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$645.65
Median
$707.95
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$11,481.54
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$954.99