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Knee Orthosis, Swedish Type, Off-the-Shelf

Montana rates for HCPCS L1850

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

Rates data updated July 2026.

Facilitymedian $245 · 10th–90th $200$3890%20%10th90th$245Professionalmedian $200 · 10th–90th $105$3890%10%10th90th$200$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$323.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$389.05
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$245.47