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Knee Orthosis, Single Upright, Off-the-Shelf

Utah 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?

$617

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $479 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 7 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$617$427 to $661
FacilityA hospital or hospital-owned outpatient department$479$427 to $603

How much rates vary

Facilitymedian $479 · 10th to 90th $427 to $617Professionalmedian $617 · 10th to 90th $339 to $2,512
$500$1K$2Kfacility $479professional $617

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$616.60
Typical High
$2,511.89
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
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$436.52
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$691.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$616.60
Typical High
$912.01
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$457.09
Typical High
$660.69

Where Utah 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.

Utah· 16th of 51

$617

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.