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Knee Orthosis, Single Upright, Off-the-Shelf

Illinois 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 $537 · 10th–90th $398$2,1380%20%10th90th$537Professionalmedian $513 · 10th–90th $389$7240%20%10th90th$513$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$398.11
Median
$398.11
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,584.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$870.96