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Knee Orthosis, Double Upright, Custom Fabricated

Washington 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 $1,413 · 10th–90th $955$3,0900%20%10th90th$1,413Professionalmedian $1,000 · 10th–90th $661$2,1880%10%10th90th$1,000$10.0$50.0$200.0$1.0K$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
$630.96
Median
$977.24
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,698.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,445.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,621.81
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$4,073.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,621.81
Typical High
$2,884.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$1,000.00
Typical High
$1,202.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,445.44
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,445.44
Typical High
$1,737.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,089.30
Typical High
$2,884.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,698.24
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,230.27
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$2,187.76