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Knee Orthosis, Double Upright, Off-the-Shelf

New Mexico 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?

$550

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $3,020 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$468$355 to $589
FacilityA hospital or hospital-owned outpatient department$3,020$631 to $5,012

How much rates vary

Facilitymedian $3,020 · 10th to 90th $457 to $5,754Professionalmedian $468 · 10th to 90th $224 to $741
$500$1K$2K$5K$10K$20K$50Kfacility $3,020professional $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
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$549.54
Typical High
$2,398.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,801.89
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$691.83
Typical High
$1,023.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$741.31

Where New Mexico 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 Mexico· 31st of 51

$550

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.