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Knee Orthosis, Swedish Type, Off-the-Shelf

Washington rates for HCPCS L1850

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

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $186$5620%10%20%10th90th$257Professionalmedian $178 · 10th–90th $158$5130%20%10th90th$178$5.0$20.0$100.0$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
$177.83
Median
$177.83
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$870.96
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$295.12
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$263.03
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$1,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$275.42
Typical High
$302.00
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$295.12
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$302.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$426.58
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$229.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$407.38
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$269.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$309.03