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Knee Orthosis, Single Upright, Off-the-Shelf

Indiana 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 $676 · 10th–90th $380$1,0000%50%10th90th$676Professionalmedian $513 · 10th–90th $347$8710%10%20%10th90th$513$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
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,071.52
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
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$794.33