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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.

Facilitymedian $631 · 10th–90th $407$1,2590%20%40%10th90th$631Professionalmedian $759 · 10th–90th $407$1,6220%10%10th90th$759$50.0$100.0$200.0$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
$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