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Knee Orthosis, Single Upright, Off-the-Shelf

Montana 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 $724 · 10th–90th $575$1,7380%20%10th90th$724Professionalmedian $617 · 10th–90th $407$9770%20%10th90th$617$100.0$500.0$2.0K$10.0K$50.0K

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
$295.12
Median
$616.60
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$954.99
Typical High
$954.99
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,258.93
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$549.54
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$776.25