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Knee Orthosis, Swedish Type, Off-the-Shelf

New Jersey 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?

$158

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $123 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 5 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$158$123 to $195
FacilityA hospital or hospital-owned outpatient department$123$120 to $214

How much rates vary

Facilitymedian $123 · 10th to 90th $120 to $229Professionalmedian $158 · 10th to 90th $107 to $295
$100$200$500facility $123professional $158

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
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$213.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$323.59
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$269.15

Where New Jersey 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.

New Jersey· 40th of 51

$158

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.