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Knee Orthosis, Double Upright, Off-the-Shelf

Virginia 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?

$603

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $550 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 8 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$550$513 to $661
FacilityA hospital or hospital-owned outpatient department$708$631 to $832

How much rates vary

Facilitymedian $708 · 10th to 90th $490 to $1,096Professionalmedian $550 · 10th to 90th $331 to $933
$500$1K$2Kfacility $708professional $550

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
$302.00
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,348.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$870.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$891.25

Where Virginia 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.

Virginia· 13th of 51

$603

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.