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Knee Orthosis, Single Upright, Off-the-Shelf

South Carolina 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.

Facilitymedian $490 · 10th–90th $407$9550%20%10th90th$490Professionalmedian $525 · 10th–90th $407$7590%20%10th90th$525$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$933.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$776.25