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Knee Orthosis, Single Upright, Off-the-Shelf

Florida 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 October 2026.

How much does Knee Orthosis, Single Upright, Off-the-Shelf cost?

$525

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,349 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$501$447 to $603
FacilityA hospital or hospital-owned outpatient department$1,349$692 to $1,698

How much rates vary

Facilitymedian $1,349 · 10th to 90th $631 to $1,698Professionalmedian $501 · 10th to 90th $288 to $741
$500$1Kfacility $1,349professional $501

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$501.19
Typical High
$602.56
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$204.17
Median
$234.42
Typical High
$302.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$93.33
Typical High
$120.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$69.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$40.74
Median
$46.77
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$691.83
Typical High
$691.83
AvMed
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
AvMed
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$741.31
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,698.24
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$741.31
Typical High
$870.96
Molina
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$288.40
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$537.03
Typical High
$691.83
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$741.31

Where Florida sits

The same service costs 2.2 times more in Kansas than in Utah. 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.

Florida· 44th of 51

$525

KS $1,000UT $457

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.