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Knee Orthosis, Single Upright, Off-the-Shelf

North Dakota 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?

$724

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $794 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$550 to $741
FacilityA hospital or hospital-owned outpatient department$794$708 to $794

How much rates vary

Facilitymedian $794 · 10th to 90th $468 to $1,349Professionalmedian $724 · 10th to 90th $479 to $871
$500$1K$2Kfacility $794professional $724

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$794.33
Typical High
$794.33
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$724.44
Typical High
$724.44
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$660.69
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$741.31
Typical High
$933.25
Medica
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$794.33
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$537.03
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$537.03
Typical High
$870.96

Where North Dakota 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.

North Dakota· 9th of 51

$724

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.