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Knee Orthosis, Single Upright, Off-the-Shelf

Oregon 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?

$603

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $589 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 8 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$617$479 to $661
FacilityA hospital or hospital-owned outpatient department$589$589 to $603

How much rates vary

Facilitymedian $589 · 10th to 90th $575 to $891Professionalmedian $617 · 10th to 90th $427 to $832
$1.0$10.0$100.0$1.0Kfacility $589professional $617

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
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$676.08
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
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,288.25
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$794.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$645.65
Typical High
$851.14
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$891.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$562.34
Typical High
$851.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$2,691.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$0.78
Median
$478.63
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$776.25

Where Oregon sits

The same service costs 3.2 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $603 · 23rd of 51
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.