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Knee Orthosis, Single Upright, Off-the-Shelf

Kansas 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?

$1,000

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $661 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 6 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$1,000$513 to $1,000
FacilityA hospital or hospital-owned outpatient department$661$525 to $1,175

How much rates vary

Facilitymedian $661 · 10th to 90th $427 to $1,288Professionalmedian $1,000 · 10th to 90th $417 to $1,000
$500$1K$2Kfacility $661professional $1,000

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
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
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
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$851.14

Where Kansas sits

The same service costs 3.2 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kansas· 1st of 51

$1,000

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.