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Knee Orthosis, Double Upright, Off-the-Shelf

Idaho 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 Idaho, 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 $575 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$457 to $646
FacilityA hospital or hospital-owned outpatient department$575$550 to $646

How much rates vary

Facilitymedian $575 · 10th to 90th $457 to $933Professionalmedian $589 · 10th to 90th $302 to $912
$500$1Kfacility $575professional $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
Professional
Modifier
Global
Typical Low
$302.00
Median
$588.84
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$794.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$630.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,513.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$524.81
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$741.31

Where Idaho 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.

Idaho· 17th 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.