Double-upright knee brace with adjustable joint

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

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

Payers reporting HCPCS L1852

Payer pricing summary

Low

$264

Average

$682

Median

$665

High

$1.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +17 other terms	382	$657	$784	$418	53%	—	$447 – $4.5k
2	UnitedHealthcare fee schedule · outpatient · +19 other terms	369	$638	$710	$163	23%	—	$409 – $1.9k
3	Humana fee schedule · outpatient · +16 other terms	341	$693	$1.2k	$1.7k	147%	—	$382 – $8.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	234	$715	$873	$492	56%	—	$558 – $5.3k
5	WellCare fee schedule · outpatient · +9 other terms	224	$634	$668	$144	22%	—	$558 – $1.2k
6	Devoted fee schedule · outpatient · +6 other terms	179	$603	$637	$111	17%	—	$557 – $1.0k
7	Molina fee schedule · outpatient · +10 other terms	149	$844	$826	$305	37%	—	$417 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	123	$716	$639	$104	16%	—	$573 – $1.0k
9	Cigna fee schedule · outpatient · +14 other terms	109	$699	$800	$292	37%	—	$405 – $1.8k
10	Anthem fee schedule · outpatient · +14 other terms	84	$661	$883	$831	94%	—	$413 – $4.8k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$596	$992	$783	79%	—	$557 – $5.0k
12	Superior Healthplan fee schedule · outpatient · +2 other terms	41	$602	$612	$57	9%	—	$558 – $933
13	Clover fee schedule · outpatient · +3 other terms	39	$618	$679	$105	15%	—	$602 – $975
14	Optum fee schedule · outpatient · +9 other terms	36	$700	$816	$272	33%	—	$557 – $1.4k
15	Oscar fee schedule · outpatient · +10 other terms	36	$736	$718	$163	23%	—	$562 – $1.2k
16	Ambetter facility · fee schedule · outpatient · +9 other terms	35	$1.2k	$1.5k	$581	39%	—	$682 – $2.3k
17	Caresource fee schedule · outpatient · +6 other terms	29	$700	$774	$133	17%	—	$409 – $992
18	Carefirst facility · percent of total billed charges · bothfrom % of charges · +1 other terms	25	$218	$280	$148	53%	—	$67 – $820
19	Bcbs Tx fee schedule · outpatient	23	$558	$639	$154	24%	—	$558 – $930
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	20	$841	$821	$136	17%	—	$422 – $1.1k
21	Regence facility · fee schedule · outpatient · +5 other terms	20	$607	$673	$137	20%	—	$474 – $951
22	Medicare fee schedule · outpatient · +3 other terms	18	$557	$592	$85	14%	—	$557 – $817
23	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$642	$753	$184	24%	—	$349 – $1.0k
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$815	$793	$108	14%	—	$456 – $1.1k
25	Medica fee schedule · outpatient · +11 other terms	13	$1.1k	$1.1k	$346	31%	—	$642 – $1.6k

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