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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 July 2026.

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

$525

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $603 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$447 to $692
FacilityA hospital or hospital-owned outpatient department$603$468 to $1,698

How much rates vary

Facilitymedian $603 · 10th to 90th $468 to $1,698Professionalmedian $525 · 10th to 90th $398 to $759
$1.0$10.0$100.0$1.0Kfacility $603professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,258.93
AvMed
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
AvMed
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$741.31

Where Florida sits

The same service costs 3.2 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $525 · 34th of 51
KS $1,000DC $309

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.