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Knee Orthosis, Double Upright, Off-the-Shelf

Michigan 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 Michigan, 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 $1,318 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$589$417 to $631
FacilityA hospital or hospital-owned outpatient department$1,318$550 to $1,549

How much rates vary

Facilitymedian $1,318 · 10th to 90th $417 to $2,399Professionalmedian $589 · 10th to 90th $380 to $759
$500$1K$2K$5Kfacility $1,318professional $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
$416.87
Median
$1,548.82
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,023.29
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,819.70
Typical High
$2,041.74
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$912.01
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$812.83

Where Michigan 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.

Michigan· 21st 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.