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Knee Orthosis, Double Upright, Off-the-Shelf

Montana 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?

$646

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $692 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 6 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$550 to $794
FacilityA hospital or hospital-owned outpatient department$692$550 to $851

How much rates vary

Facilitymedian $692 · 10th to 90th $550 to $1,202Professionalmedian $589 · 10th to 90th $380 to $851
$100$200$500$1K$2Kfacility $692professional $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
$275.42
Median
$588.84
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$851.14
Typical High
$851.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,202.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,202.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$741.31

Where Montana 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.

Montana· 7th of 51

$646

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.