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Limited Motion Knee Joint, Fracture Orthosis

Washington rates for HCPCS L2184

Addition to lower extremity fracture orthosis, limited motion knee joint

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $95$3240%20%10th90th$138Professionalmedian $115 · 10th–90th $69$2750%10%20%10th90th$115$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$602.56
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$138.04
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$91.20
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$169.82
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$117.49
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$138.04
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$154.88
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$281.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$134.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$190.55
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$213.80