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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 October 2026.

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

$178

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $214 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$138 to $295
FacilityA hospital or hospital-owned outpatient department$214$214 to $229

How much rates vary

Facilitymedian $214 · 10th to 90th $182 to $234Professionalmedian $174 · 10th to 90th $120 to $295
$100$200facility $214professional $174

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$154.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$60.26
Typical High
$77.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$23.99
Typical High
$30.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$18.20
Typical High
$23.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$213.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$295.12
Typical High
$295.12
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$234.42
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$186.21
Typical High
$263.03

Where New Jersey 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.

New Jersey· 38th of 51

$178

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.