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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.

Facilitymedian $562 · 10th–90th $380$6610%20%10th90th$562Professionalmedian $447 · 10th–90th $309$7590%20%10th90th$447$500.0$1.0K$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
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