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Knee Orthosis, Double Upright, Off-the-Shelf

Vermont 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?

$513

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $513 for this service. Most negotiated rates run $501 to $589.

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.

How much rates vary

Facilitymedian $575 · 10th to 90th $363 to $646Professionalmedian $513 · 10th to 90th $501 to $646
$500$1Kfacility $575professional $513

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
$501.19
Median
$512.86
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$691.83
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$776.25
Typical High
$1,513.56

Where Vermont 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.

Vermont· 35th of 51

$513

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.