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Knee Orthosis, Double Upright, Custom Fabricated

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $708 to $955.

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.

How much rates vary

Facilitymedian $813 · 10th to 90th $617 to $832Professionalmedian $776 · 10th to 90th $708 to $1,096
$500$1K$2Kfacility $813professional $776

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$2,951.21

Where Vermont 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.

Vermont· 23rd 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.