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Knee Orthosis, Single Upright, Off-the-Shelf

Maryland 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?

$447

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $309 to $617.

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.

How much rates vary

Facilitymedian $562 · 10th to 90th $380 to $661Professionalmedian $447 · 10th to 90th $309 to $759
$500$1K$2Kfacility $562professional $447

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
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
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
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$575.44
Typical High
$691.83

Where Maryland 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.

Maryland· 46th of 51

$447

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.