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Knee Orthosis, Inflatable Air Chambers, Custom Fitted

New Jersey rates for HCPCS L1847

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated October 2026.

How much does Knee Orthosis, Inflatable Air Chambers, Custom Fitted cost?

$339

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $389 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$339$275 to $692
FacilityA hospital or hospital-owned outpatient department$389$389 to $389

How much rates vary

Facilitymedian $389 · 10th to 90th $229 to $692Professionalmedian $339 · 10th to 90th $229 to $692
$500$1Kfacility $389professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$295.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$114.82
Median
$114.82
Typical High
$147.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$45.71
Median
$45.71
Typical High
$58.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$34.67
Median
$34.67
Typical High
$43.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.91
Median
$22.91
Typical High
$29.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$691.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$389.05
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$912.01
Typical High
$912.01
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$851.14
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$363.08
Typical High
$660.69

Where New Jersey sits

The same service costs 2.5 times more in Iowa than in Delaware. 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.

New Jersey· 48th of 51

$339

IA $708DE $282

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.