go back

Knee Orthosis, Single Upright, Off-the-Shelf

New Mexico 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?

$562

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $3,162 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$479$372 to $617
FacilityA hospital or hospital-owned outpatient department$3,162$661 to $5,129

How much rates vary

Facilitymedian $3,162 · 10th to 90th $468 to $6,026Professionalmedian $479 · 10th to 90th $234 to $776
$500$1K$2K$5K$10K$20K$50Kfacility $3,162professional $479

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
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$575.44
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,981.07
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$724.44
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$776.25

Where New Mexico 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.

New Mexico· 32nd of 51

$562

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.