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Knee Orthosis, Swedish Type, Off-the-Shelf

Idaho rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Swedish Type, Off-the-Shelf cost?

$200

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $229 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 8 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$195$155 to $234
FacilityA hospital or hospital-owned outpatient department$229$200 to $302

How much rates vary

Facilitymedian $229 · 10th to 90th $174 to $407Professionalmedian $195 · 10th to 90th $105 to $339
$100$200$500facility $229professional $195

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
Professional
Modifier
Global
Typical Low
$104.71
Median
$177.83
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$229.09
Typical High
$323.59
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$263.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$234.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$0.26
Median
$186.21
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$234.42

Where Idaho sits

The same service costs 4.4 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.

Idaho· 17th of 51

$200

HI $457DC $105

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.