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

Current codeKnee Orthosis25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L1852 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$563 – $5982 plans$282$704
Deaconess Medical CenterSpokaneFile dated 2026-08-27$500 – $5142 plans$282$704
Harborview Medical CenterSeattleFile dated 2026-04-01—$702$1,003
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$460 – $5636 plans$282$704
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$415 – $5143 plans$282$704
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$415 – $5143 plans$282$704
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$415 – $5143 plans$282$704
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5072 plans$282$704
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$415 – $5143 plans$282$704
University of Washington Medical CtrSeattleFile dated 2026-04-01—$579$827

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$573 (fee)