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Knee Orthosis, Single Upright, Off-the-Shelf

Idaho 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 Idaho, 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 $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$617$468 to $676
FacilityA hospital or hospital-owned outpatient department$603$575 to $692

How much rates vary

Facilitymedian $603 · 10th to 90th $479 to $1,047Professionalmedian $617 · 10th to 90th $309 to $1,000
$1.0$10.0$100.0$1.0Kfacility $603professional $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
Professional
Modifier
Global
Typical Low
$309.03
Median
$616.60
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$851.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$758.58
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,584.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$549.54
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$616.60

Where Idaho 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.

Idaho $617 · 12th 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.