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Knee Orthosis, Single Upright, Off-the-Shelf

Georgia 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?

$617

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $741 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$617$427 to $871
FacilityA hospital or hospital-owned outpatient department$741$427 to $1,175

How much rates vary

Facilitymedian $741 · 10th to 90th $427 to $2,692Professionalmedian $617 · 10th to 90th $407 to $1,000
$500$1K$2Kfacility $741professional $617

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
$426.58
Median
$426.58
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$891.25
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,737.80
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
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
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$870.96

Where Georgia sits

The same service costs 3.2 times more in Kansas than in Washington, DC. 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.

Georgia· 19th of 51

$617

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.