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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 October 2026.

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

$501

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $2,754 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$479$468 to $692
FacilityA hospital or hospital-owned outpatient department$2,754$631 to $4,677

How much rates vary

Facilitymedian $2,754 · 10th to 90th $427 to $5,754Professionalmedian $479 · 10th to 90th $347 to $724
$500$1K$2K$5Kfacility $2,754professional $479

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
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$575.44
Typical High
$616.60
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$3,890.45
Typical High
$5,888.44
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$467.74
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Molina
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$724.44
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$630.96
Providence
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$741.31
United
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$478.63
Typical High
$776.25

Where New Mexico 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.

New Mexico· 46th of 51

$501

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.