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Knee Orthosis, Swedish Type, Off-the-Shelf

Utah rates for HCPCS L1850

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $105$2140%20%40%10th90th$162Professionalmedian $162 · 10th–90th $93$8710%10%10th90th$162$50.0$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
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$870.96
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
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$147.91
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$234.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$229.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$208.93
Typical High
$309.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$229.09