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Knee Orthosis, Double Upright, Off-the-Shelf

Indiana 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?

$513

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $646 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 5 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$479$363 to $661
FacilityA hospital or hospital-owned outpatient department$646$575 to $661

How much rates vary

Facilitymedian $646 · 10th to 90th $363 to $955Professionalmedian $479 · 10th to 90th $331 to $776
$500$1Kfacility $646professional $479

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
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$776.25

Where Indiana 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.

Indiana· 34th of 51

$513

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.