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Knee Orthosis, Single Upright, Off-the-Shelf

Texas 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 $603 · 10th–90th $355$3,0900%20%10th90th$603Professionalmedian $437 · 10th–90th $339$6610%50%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
$338.84
Median
$354.81
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$676.08
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$977.24
Christus
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
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
$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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,348.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$645.65
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$831.76