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Knee Orthosis, Swedish Type, Off-the-Shelf

Michigan rates for HCPCS L1850

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

Rates data updated October 2026.

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

$224

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $380 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$158 to $245
FacilityA hospital or hospital-owned outpatient department$380$214 to $708

How much rates vary

Facilitymedian $380 · 10th to 90th $214 to $977Professionalmedian $224 · 10th to 90th $132 to $324
$200$500$1K$2Kfacility $380professional $224

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$223.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$112.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$26.30
Typical High
$44.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$19.50
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$12.88
Typical High
$22.39
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$660.69
Typical High
$1,258.93
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$223.87
Typical High
$223.87
CareSource
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$213.80
Typical High
$323.59
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$676.08
Typical High
$724.44
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$245.47
Typical High
$323.59
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Priority Health
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Priority Health
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$213.80
Typical High
$363.08
United
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$234.42
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$162.18
Typical High
$239.88

Where Michigan sits

The same service costs 2.9 times more in Hawaii than in Utah. 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· 12th of 51

$224

HI $437UT $151

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.