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Knee Orthosis, Double Upright, Off-the-Shelf

Nebraska 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?

$457

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $661 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 8 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$457$339 to $589
FacilityA hospital or hospital-owned outpatient department$661$562 to $912

How much rates vary

Facilitymedian $661 · 10th to 90th $447 to $1,778Professionalmedian $457 · 10th to 90th $339 to $646
$500$1K$2Kfacility $661professional $457

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
$446.68
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$891.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$2,137.96
Midlands
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$2,137.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$741.31

Where Nebraska 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.

Nebraska· 46th of 51

$457

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.