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Knee Orthosis, Single Upright, Off-the-Shelf

Washington 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 $676 · 10th–90th $537$1,8200%20%10th90th$676Professionalmedian $617 · 10th–90th $468$1,2880%10%20%10th90th$617$10.0$50.0$200.0$1.0K$5.0K

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
$123.03
Median
$524.81
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$870.96
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$776.25
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,412.54
Typical High
$3,090.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,288.25
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$616.60
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$870.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,258.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$794.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$891.25