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Knee Orthosis, Double Upright, Custom Fabricated

Wyoming 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 $692 · 10th–90th $617$1,2300%20%10th90th$692Professionalmedian $708 · 10th–90th $631$1,2300%20%10th90th$708$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
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
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$954.99