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Knee Orthosis, Single Upright, Off-the-Shelf

Iowa 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 $794 · 10th–90th $468$1,9500%10%20%10th90th$794Professionalmedian $617 · 10th–90th $363$1,0720%20%10th90th$617$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
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
$707.95
Median
$912.01
Typical High
$1,023.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,122.02
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$3,388.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,388.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$891.25