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Knee Orthosis, Swedish Type, Off-the-Shelf

Virginia 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?

$200

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $251 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 8 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$170$158 to $219
FacilityA hospital or hospital-owned outpatient department$251$214 to $269

How much rates vary

Facilitymedian $251 · 10th to 90th $166 to $380Professionalmedian $170 · 10th to 90th $120 to $309
$100$200$500$1K$2K$5K$10Kfacility $251professional $170

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
$104.71
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$416.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$389.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$346.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$316.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$1,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$275.42

Where Virginia 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.

Virginia· 16th of 51

$200

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.