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Knee Orthosis, Double Upright, Off-the-Shelf

Florida 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?

$537

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $631 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 8 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$537$468 to $661
FacilityA hospital or hospital-owned outpatient department$631$490 to $1,738

How much rates vary

Facilitymedian $631 · 10th to 90th $490 to $1,738Professionalmedian $537 · 10th to 90th $389 to $741
$500$1K$2K$5Kfacility $631professional $537

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
$489.78
Median
$549.54
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,380.38
AvMed
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
AvMed
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$707.95

Where Florida 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.

Florida· 33rd of 51

$537

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.