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Knee Orthosis, Single Upright, Off-the-Shelf

Kentucky 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 $417$1,0000%20%40%10th90th$537Professionalmedian $525 · 10th–90th $363$6920%20%40%10th90th$525$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
$416.87
Median
$416.87
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$741.31
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$776.25