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Knee Orthosis, Single Upright, Off-the-Shelf

Delaware 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 $550 · 10th–90th $1$7080%20%40%10th90th$550Professionalmedian $407 · 10th–90th $331$2,2390%20%40%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$478.63
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$831.76