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Knee Orthosis, Double Upright, Off-the-Shelf

Hawaii 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?

$871

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $589 to $871.

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 $525 · 10th to 90th $457 to $646Professionalmedian $871 · 10th to 90th $417 to $912
$500$1Kfacility $525professional $871

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
$371.54
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,071.52
HMSA
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$776.25
Typical High
$1,258.93

Where Hawaii 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.

Hawaii· 2nd of 51

$871

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.