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Knee Orthosis, Single Upright, Off-the-Shelf

New Jersey 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 $380 · 10th–90th $380$6610%50%90th$380Professionalmedian $468 · 10th–90th $331$8710%10%10th90th$468$500.0$1.0K$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
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$870.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$831.76