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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 October 2026.

How much does Knee Orthosis, Single Upright, Off-the-Shelf cost?

$871

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $955 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$537 to $955
FacilityA hospital or hospital-owned outpatient department$955$759 to $34,674

How much rates vary

Facilitymedian $955 · 10th to 90th $617 to $35,481Professionalmedian $851 · 10th to 90th $79 to $955
$100$500$2K$10Kfacility $955professional $851

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$616.60
Typical High
$676.08
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,202.26
Typical High
$38,018.94
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$707.95
Typical High
$37,153.52
Providence
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$954.99
Typical High
$954.99
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$602.56
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$478.63
Typical High
$794.33

Where Montana sits

The same service costs 2.2 times more in Kansas than in Utah. 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.

Montana· 4th of 51

$871

KS $1,000UT $457

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.