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Knee Orthosis, Single Upright, Off-the-Shelf

New York 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?

$661

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $661 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 9 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$661$468 to $708
FacilityA hospital or hospital-owned outpatient department$661$501 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $389 to $1,096Professionalmedian $661 · 10th to 90th $407 to $1,259
$500$1K$2K$5K$10K$20K$50Kfacility $661professional $661

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
$380.19
Median
$501.19
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,659.59
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$794.33
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$707.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$1,258.93
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$602.56
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$724.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$2,137.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$676.08
Univera
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$724.44

Where New York 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 York· 10th of 51

$661

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.