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Knee Orthosis, Single Upright, Off-the-Shelf

Maine 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 $575$9330%20%40%10th90th$813Professionalmedian $603 · 10th–90th $427$6920%20%40%10th90th$603$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$724.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$870.96