go back

Knee Orthosis, Double Upright, Off-the-Shelf

New Jersey 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?

$468

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $417 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 5 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$468$398 to $617
FacilityA hospital or hospital-owned outpatient department$417$417 to $631

How much rates vary

Facilitymedian $417 · 10th to 90th $417 to $646Professionalmedian $468 · 10th to 90th $324 to $955
$500$1K$2Kfacility $417professional $468

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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$831.76
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$870.96

Where New Jersey 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 Jersey· 40th of 51

$468

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.