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Knee Orthosis, Single Upright, Off-the-Shelf

Michigan 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?

$617

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $955 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$437 to $661
FacilityA hospital or hospital-owned outpatient department$955$479 to $1,950

How much rates vary

Facilitymedian $955 · 10th to 90th $437 to $2,630Professionalmedian $617 · 10th to 90th $389 to $871
$10$50$200$1K$5Kfacility $955professional $617

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
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,995.26
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
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
$630.96
Typical High
$1,071.52
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,949.84
Typical High
$2,187.76
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$741.31
Typical High
$977.24
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$870.96

Where Michigan 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.

Michigan· 20th of 51

$617

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.