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Knee Orthosis, Double Upright, Off-the-Shelf

Kentucky 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?

$537

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $513 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 7 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$537$407 to $550
FacilityA hospital or hospital-owned outpatient department$513$417 to $741

How much rates vary

Facilitymedian $513 · 10th to 90th $417 to $955Professionalmedian $537 · 10th to 90th $331 to $661
$500$1K$2Kfacility $513professional $537

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
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$912.01
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$776.25

Where Kentucky 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.

Kentucky· 32nd of 51

$537

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.