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Knee Orthosis, Double Upright, Off-the-Shelf

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $457 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$589$407 to $646
FacilityA hospital or hospital-owned outpatient department$457$407 to $562

How much rates vary

Facilitymedian $457 · 10th to 90th $407 to $589Professionalmedian $589 · 10th to 90th $324 to $2,399
$200$500$1K$2Kfacility $457professional $589

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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$588.84
Typical High
$2,398.83
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
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$416.87
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$562.34
Typical High
$645.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$588.84
Typical High
$831.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$436.52
Typical High
$630.96

Where Utah 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.

Utah· 16th 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.