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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.

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

$617

Typical negotiated rate. In Montana, 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 $724 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 6 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$479 to $813
FacilityA hospital or hospital-owned outpatient department$724$575 to $1,023

How much rates vary

Facilitymedian $724 · 10th to 90th $575 to $1,738Professionalmedian $617 · 10th to 90th $407 to $977
$100$1K$10K$100Kfacility $724professional $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
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

Where Montana 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.

Montana· 14th 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.