go back

Knee Orthosis, Swedish Type, Off-the-Shelf

Michigan 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?

$195

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $339 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$195$148 to $224
FacilityA hospital or hospital-owned outpatient department$339$162 to $646

How much rates vary

Facilitymedian $339 · 10th to 90th $148 to $912Professionalmedian $195 · 10th to 90th $120 to $263
$5$20$100$500$2Kfacility $339professional $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
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$676.08
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$223.87
Typical High
$234.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$363.08
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$645.65
Typical High
$724.44
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$331.13
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$245.47

Where Michigan 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.

Michigan· 23rd of 51

$195

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.