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Knee Orthosis, Single Upright, Off-the-Shelf

Louisiana 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 $813 · 10th–90th $562$1,8620%20%10th90th$813Professionalmedian $589 · 10th–90th $363$6920%20%40%10th90th$589$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
$616.60
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Christus
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$776.25