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Knee Orthosis, Double Upright, Off-the-Shelf

Rhode Island 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?

$562

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,445 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 4 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$501$427 to $617
FacilityA hospital or hospital-owned outpatient department$1,445$933 to $1,738

How much rates vary

Facilitymedian $1,445 · 10th to 90th $589 to $2,042Professionalmedian $501 · 10th to 90th $417 to $646
$500$1K$2Kfacility $1,445professional $501

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,513.56
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$851.14
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
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$812.83

Where Rhode Island 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.

Rhode Island· 26th of 51

$562

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.