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Knee Orthosis, Swedish Type, Off-the-Shelf

New Mexico 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?

$195

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $214 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$195$129 to $195
FacilityA hospital or hospital-owned outpatient department$214$158 to $275

How much rates vary

Facilitymedian $214 · 10th to 90th $105 to $363Professionalmedian $195 · 10th to 90th $79 to $389
$100$200$500facility $214professional $195

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$229.09
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$245.47

Where New Mexico 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 Mexico· 22nd of 51

$195

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.