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Knee Orthosis, Double Upright, Off-the-Shelf

Georgia 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?

$631

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $708 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$631$417 to $912
FacilityA hospital or hospital-owned outpatient department$708$417 to $1,122

How much rates vary

Facilitymedian $708 · 10th to 90th $417 to $2,570Professionalmedian $631 · 10th to 90th $398 to $1,072
$500$1K$2Kfacility $708professional $631

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
$416.87
Median
$416.87
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$1,023.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,659.59
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$851.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$1,778.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$912.01

Where Georgia 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.

Georgia· 10th of 51

$631

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.