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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 October 2026.

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

$724

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $832 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$631 to $1,096
FacilityA hospital or hospital-owned outpatient department$832$832 to $832

How much rates vary

Facilitymedian $832 · 10th to 90th $646 to $832Professionalmedian $724 · 10th to 90th $617 to $8,128
$500$1K$2K$5K$10Kfacility $832professional $724

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
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$645.65
Typical High
$812.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$323.59
Typical High
$354.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$128.82
Typical High
$141.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$95.50
Median
$97.72
Typical High
$107.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$63.10
Median
$64.57
Typical High
$70.79
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$676.08
Typical High
$851.14

Where Tennessee 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.

Tennessee· 40th of 51

$724

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.