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Knee Orthosis, Double Upright, Off-the-Shelf

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $708 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$575$575 to $661
FacilityA hospital or hospital-owned outpatient department$708$646 to $724

How much rates vary

Facilitymedian $708 · 10th to 90th $589 to $832Professionalmedian $575 · 10th to 90th $468 to $708
$500$1Kfacility $708professional $575

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
$588.84
Median
$588.84
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$707.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
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
$467.74
Typical High
$691.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$794.33
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$812.83

Where New Hampshire 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.

New Hampshire· 14th 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.