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Knee Orthosis, Single Upright, Off-the-Shelf

Vermont 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?

$550

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $501 to $646.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $603 · 10th to 90th $389 to $708Professionalmedian $550 · 10th to 90th $501 to $891
$500$1Kfacility $603professional $550

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
$501.19
Median
$549.54
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
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
$707.95
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$812.83
Typical High
$1,584.89

Where Vermont 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.

Vermont· 33rd of 51

$550

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.