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Knee Orthosis, Double Upright, Off-the-Shelf

North Carolina 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?

$692

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $741 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$692$589 to $741
FacilityA hospital or hospital-owned outpatient department$741$537 to $851

How much rates vary

Facilitymedian $741 · 10th to 90th $407 to $1,318Professionalmedian $692 · 10th to 90th $398 to $871
$500$1K$2Kfacility $741professional $692

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
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$741.31
Typical High
$870.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$691.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$812.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,677.35

Where North Carolina 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.

North Carolina· 5th of 51

$692

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.