HCPCS L1843

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Current codeKnee Orthosis23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L1843 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,055 – $1,1606 plans$128 – $549$321 – $1,372
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,055 – $1,1608 plans$128 – $549$321 – $1,372
Harborview Medical CenterSeattleFile dated 2026-04-01$1,076 – $1,1845 plans$1,305 – $1,318$1,865 – $1,883
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,076 – $1,2927 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,055 – $1,1607 plans$128 – $549$321 – $1,372
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,055 – $1,1607 plans$128 – $549$321 – $1,372
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,055 – $1,1607 plans$128 – $549$321 – $1,372
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,055 – $1,1607 plans$128 – $549$321 – $1,372
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,086 – $1,1607 plans$128 – $549$321 – $1,372
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,076 – $1,1193 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,076 – $1,2927 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,076 – $1,7227 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,076 – $1,1846 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,076 – $1,7227 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,076 – $1,2928 plans$1,285$2,676
Swedish IssaquahIssaquahFile dated 2026-04-01$1,076 – $1,2928 plans$1,285$2,676
Swedish Medical CenterSeattleFile dated 2026-04-01$1,076 – $1,2928 plans$1,285$2,676
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,076 – $1,2928 plans$1,509$3,144
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,055 – $1,1607 plans$128 – $549$321 – $1,372
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,076 – $1,1845 plans$1,665$2,378
Virginia Mason Medical CenterSeattle$739 – $1,1089 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,055 – $1,1818 plans$79.20 – $549$198 – $1,372

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$1,076 (fee)