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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.

Facilitymedian $661 · 10th–90th $398$1,3180%20%10th90th$661Professionalmedian $603 · 10th–90th $398$1,0230%20%10th90th$603$1.0$5.0$20.0$100.0$500.0$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
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