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Knee Orthosis, Single Upright, Off-the-Shelf

Hawaii 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?

$955

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $955 for this service. Most negotiated rates run $912 to $977.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $708 · 10th to 90th $708 to $708Professionalmedian $955 · 10th to 90th $832 to $977
$1Kfacility $708professional $955

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
HMSA
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$912.01
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$977.24
Typical High
$977.24
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76

Where Hawaii 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.

Hawaii· 2nd of 51

$955

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.