go back

Knee Orthosis, Single Upright, Off-the-Shelf

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $661 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 7 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$603$427 to $692
FacilityA hospital or hospital-owned outpatient department$661$457 to $692

How much rates vary

Facilitymedian $661 · 10th to 90th $398 to $1,318Professionalmedian $603 · 10th to 90th $398 to $1,023
$500$1K$2Kfacility $661professional $603

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
$398.11
Median
$398.11
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$2,238.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$691.83
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$2,344.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$776.25

Where Missouri 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.

Missouri· 11th 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.