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Knee Orthosis, Swedish Type, Off-the-Shelf

Wisconsin rates for HCPCS L1850

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

Rates data updated July 2026.

Facilitymedian $229 · 10th–90th $214$5750%20%40%10th90th$229Professionalmedian $214 · 10th–90th $129$4170%20%40%10th90th$214$0.5$2.0$10.0$50.0$200.0$1.0K

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
$128.82
Median
$575.44
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$758.58
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$338.84
Typical High
$426.58
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$323.59
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$218.78
Network Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$524.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$323.59
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$223.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$602.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$467.74
Typical High
$1,122.02
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$389.05
Typical High
$1,698.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$281.84