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Knee Orthosis, Double Upright, Off-the-Shelf

Arizona rates for HCPCS L1852

Knee orthosis (KO), double 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, Double Upright, Off-the-Shelf cost?

$468

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $513 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 6 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$468$398 to $589
FacilityA hospital or hospital-owned outpatient department$513$363 to $708

How much rates vary

Facilitymedian $513 · 10th to 90th $162 to $1,175Professionalmedian $468 · 10th to 90th $251 to $741
$200$500$1K$2Kfacility $513professional $468

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
Professional
Modifier
Global
Typical Low
$234.42
Median
$489.78
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$616.60
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$588.84
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$741.31

Where Arizona sits

The same service costs 3.1 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.

Arizona· 41st of 51

$468

KS $933DC $302

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.