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Knee Orthosis, Swedish Type, Off-the-Shelf

Missouri 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?

$186

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $178 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 6 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$178$138 to $209
FacilityA hospital or hospital-owned outpatient department$229$158 to $234

How much rates vary

Facilitymedian $229 · 10th to 90th $132 to $525Professionalmedian $178 · 10th to 90th $132 to $331
$100$200$500$1Kfacility $229professional $178

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
$131.83
Median
$131.83
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$245.47

Where Missouri 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.

Missouri· 25th of 51

$186

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.