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Knee Orthosis, Double Upright, Off-the-Shelf

Missouri 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?

$562

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $631 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$550$398 to $661
FacilityA hospital or hospital-owned outpatient department$631$437 to $661

How much rates vary

Facilitymedian $631 · 10th to 90th $363 to $1,259Professionalmedian $550 · 10th to 90th $363 to $891
$500$1K$2Kfacility $631professional $550

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
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$2,137.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$758.58

Where Missouri 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.

Missouri· 29th of 51

$562

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.