Hinged knee orthosis, prefabricated
EMDN Y061209 · HCPCS L1833 · LPP 2152211
A ready-made knee brace with adjustable hinged joints and rigid support.
EMDN code Y061209: KNEE ORTHOSES [1].
| System | Comparability | Total | In euros |
|---|---|---|---|
| France | Close match | €102.29 | €102.29 |
| United States | Close match | US$509.63 | €454.78 |
| Australia | No code | ||
France
Close match. The French tariff is a reimbursement base without a regulated price, so the retail price can be higher. Source [3].
-
2152211 1 × €102.29 Reimbursement tariff
CORRECTION ORTHOPEDIQUE, GENOU, ATTELLE ET ORTHESE ARTICULEE
Full LPP designation, in French
CORRECTION ORTHOPEDIQUE, GENOU, ATTELLE ET ORTHESE ARTICULEE Orthèses et prothèses externes. Orthèses (ex-petit appareillage). Appareils divers de correction orthopédiques du membre inférieur. Attelle et orthèse de série articulée pour appareillage du genou pour une correction orthopédique du genou. Les appareils divers de correction orthopédique sont des orthèses destinées : -à corriger des déformations des membres; -à limiter ou immobiliser en extension ou flexion leurs articulations; -à permettre éventuellement leur rééducation. La prescription doit être libellée sur une ordonnance particulière, indépendante de celles comportant la prescription de produits pharmaceutiques ou de tout autre appareil. Elle doit généralement préciser, en plus de la désignation de l'article, la nature et le siège de l'atteinte justifiant la prescription et, éventuellement, les indications permettant une application correcte de l'orthèse (finalité médicale).
LPP tariff (tarif de responsabilité), without a regulated sale price
- 2152211: no prior approval, latest order published in the Journal officiel of 6 July 2023.
United States
Close match. L1833 is supplied off the shelf. Source [4][5].
-
L1833 1 × US$509.63 Reimbursement tariff
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf
Median of 53 states, US$455.16 to US$1,087.16
Medicare fee schedule amount; Medicare pays 80% of the lower of the actual charge and this amount
Show the amount in each state (L1833)
| State | Non-rural | Rural |
|---|---|---|
| AK | US$685.69 | |
| AL | US$556.31 | US$743.90 |
| AR | US$556.31 | US$627.47 |
| AZ | US$455.16 | US$695.27 |
| CA | US$455.16 | US$695.27 |
| CO | US$463.72 | US$627.47 |
| CT | US$538.74 | US$734.24 |
| DC | US$503.87 | US$684.50 |
| DE | US$503.87 | US$684.50 |
| FL | US$556.31 | US$743.90 |
| GA | US$556.31 | US$743.90 |
| HI | US$713.94 | |
| IA | US$502.02 | US$627.47 |
| ID | US$463.72 | US$627.47 |
| IL | US$509.63 | US$701.41 |
| IN | US$509.63 | US$701.41 |
| KS | US$502.02 | US$627.47 |
| KY | US$556.31 | US$743.90 |
| LA | US$556.31 | US$627.47 |
| MA | US$538.74 | US$734.24 |
| MD | US$503.87 | US$684.50 |
| ME | US$538.74 | US$734.24 |
| MI | US$509.63 | US$701.41 |
| MN | US$502.02 | US$701.41 |
| MO | US$502.02 | US$627.47 |
| MS | US$556.31 | US$743.90 |
| MT | US$463.72 | US$627.47 |
| NC | US$556.31 | US$743.90 |
| ND | US$502.02 | US$627.47 |
| NE | US$502.02 | US$627.47 |
| NH | US$538.74 | US$734.24 |
| NJ | US$503.87 | US$743.90 |
| NM | US$455.16 | US$627.47 |
| NV | US$455.16 | US$695.27 |
| NY | US$503.87 | US$743.90 |
| OH | US$509.63 | US$701.41 |
| OK | US$455.16 | US$627.47 |
| OR | US$455.16 | US$627.47 |
| PA | US$503.87 | US$684.50 |
| PR | US$1,087.16 | |
| RI | US$538.74 | US$734.24 |
| SC | US$556.31 | US$743.90 |
| SD | US$502.02 | US$627.47 |
| TN | US$556.31 | US$743.90 |
| TX | US$455.16 | US$627.47 |
| UT | US$463.72 | US$627.47 |
| VA | US$556.31 | US$684.50 |
| VI | US$743.90 | |
| VT | US$538.74 | US$734.24 |
| WA | US$455.16 | US$627.47 |
| WI | US$509.63 | US$701.41 |
| WV | US$556.31 | US$684.50 |
| WY | US$463.72 | US$627.47 |
Australia
The Prescribed List covers devices used or implanted as part of hospital treatment. The Department of Health states that external devices, like prosthetic limbs, are not eligible to be listed. [6]
References
- European Commission. European Medical Device Nomenclature (EMDN), version 2026 [Internet]. Brussels: European Commission; 2026 [cited 2026 Oct 9]. Available from: https://webgate.ec.europa.eu/dyna2/emdn/
- European Central Bank. Euro foreign exchange reference rates, 9 October 2026 [Internet]. Frankfurt am Main: ECB; 2026 [cited 2026 Oct 9]. Available from: https://www.ecb.europa.eu/stats/policy_and_exchange_rates/euro_reference_exchange_rates/html/index.en.html
- Assurance Maladie. Liste des produits et prestations (LPP), version 905 [Internet]. Paris: Caisse nationale de l'assurance maladie; 2026 [updated 2026 Oct 8; cited 2026 Oct 9]. Available from: http://www.codage.ext.cnamts.fr/codif/tips/index.php?p_site=AMELI
- Centers for Medicare & Medicaid Services. DMEPOS fee schedule, October 2026 (DME26-D) [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/payment/fee-schedules/dmepos/dmepos-fee-schedule/dme26-d
- Centers for Medicare & Medicaid Services. October 2026 alpha-numeric HCPCS file [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update
- Department of Health, Disability and Ageing. Medical devices and human tissue products covered under private health insurance [Internet]. Canberra: Australian Government; [updated 2025 Mar 13; cited 2026 Oct 9]. Available from: https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/medical-devices-and-human-tissue-products-covered-under-private-health-insurance