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Knee Orthosis, Double Upright, Custom Fabricated

Utah 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?

$759

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $631 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 7 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$589 to $1,023
FacilityA hospital or hospital-owned outpatient department$631$407 to $1,259

How much rates vary

Facilitymedian $631 · 10th to 90th $407 to $1,259Professionalmedian $759 · 10th to 90th $407 to $1,622
$500$1K$2K$5Kfacility $631professional $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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$933.25
Typical High
$1,202.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,258.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,288.25
Typical High
$1,479.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$954.99

Where Utah 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.

Utah· 35th of 51

$759

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.