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Knee Orthosis, Single Upright, Off-the-Shelf

Rhode Island 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?

$631

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,549 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$525 to $661
FacilityA hospital or hospital-owned outpatient department$1,549$1,445 to $1,905

How much rates vary

Facilitymedian $1,549 · 10th to 90th $955 to $2,188Professionalmedian $631 · 10th to 90th $457 to $871
$500$1K$2Kfacility $1,549professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$257.04
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$102.33
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$77.62
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$51.29
Median
$66.07
Typical High
$66.07
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$2,187.76
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$630.96
Typical High
$812.83
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
United
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$676.08
Typical High
$870.96

Where Rhode Island 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.

Rhode Island· 23rd of 51

$631

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.