go back

Knee Orthosis, Double Upright, Custom Fabricated

Wisconsin 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 $1,445 · 10th–90th $1,096$2,8840%20%40%10th90th$1,445Professionalmedian $1,349 · 10th–90th $708$2,3440%20%10th90th$1,349$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$707.95
Median
$2,454.71
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,311.31
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$2,089.30
Typical High
$2,691.53
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$1,778.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,412.54
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$870.96
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,818.38
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$1,778.28
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,412.54
Typical High
$1,659.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,137.96
Typical High
$3,801.89
Quartz
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,951.21
Typical High
$6,760.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$2,137.96
Typical High
$8,128.31
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$1,288.25