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Knee Orthosis, Single Upright, Off-the-Shelf

Tennessee 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 $708 · 10th–90th $437$3,2360%20%10th90th$708Professionalmedian $437 · 10th–90th $363$7590%20%40%10th90th$437$1.0$5.0$20.0$100.0$500.0$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
$436.52
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$724.44