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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.

Facilitymedian $603 · 10th–90th $479$1,0470%20%40%10th90th$603Professionalmedian $617 · 10th–90th $309$1,0000%20%10th90th$617$1.0$5.0$20.0$100.0$500.0

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
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