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Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf

Utah rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Rates data updated July 2026.

How much does Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf cost?

$417

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $363 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$240 to $479
FacilityA hospital or hospital-owned outpatient department$363$295 to $447

How much rates vary

Facilitymedian $363 · 10th to 90th $295 to $447Professionalmedian $417 · 10th to 90th $145 to $575
$200$500$1Kfacility $363professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$426.58
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$331.13
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$512.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$467.74
Typical High
$630.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$537.03

Where Utah sits

The same service costs 3.0 times more in Hawaii than in Washington, DC. 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.

Utah· 32nd of 51

$417

HI $708DC $234

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.