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Knee Orthosis, Single Upright, Off-the-Shelf

Nationwide rates for HCPCS L1851

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $468$2,1380%20%10th90th$776Professionalmedian $603 · 10th–90th $355$9550%10%20%10th90th$603$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$338.84
Median
$467.74
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$870.96