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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 July 2026.

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

$562

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,514 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 4 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$537$468 to $661
FacilityA hospital or hospital-owned outpatient department$1,514$955 to $1,905

How much rates vary

Facilitymedian $1,514 · 10th to 90th $617 to $2,188Professionalmedian $537 · 10th to 90th $437 to $676
$500$1K$2Kfacility $1,514professional $537

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. 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
Global
Typical Low
$436.52
Median
$512.86
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$912.01
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
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$831.76

Where Rhode Island 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.

Rhode Island· 31st 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.