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Knee Orthosis, Double Upright, Off-the-Shelf

Iowa 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?

$589

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $692 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$589$437 to $741
FacilityA hospital or hospital-owned outpatient department$692$479 to $1,096

How much rates vary

Facilitymedian $692 · 10th to 90th $437 to $1,950Professionalmedian $589 · 10th to 90th $372 to $1,047
$500$1K$2Kfacility $692professional $589

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
$407.38
Median
$501.19
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,047.13
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$2,884.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,884.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$831.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$794.33

Where Iowa 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.

Iowa· 19th of 51

$589

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.