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Knee Orthosis, Elastic with Joints, Off-the-Shelf

Arizona rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Elastic with Joints, Off-the-Shelf cost?

$64.57

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $66.07 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$50.12 to $85.11
FacilityA hospital or hospital-owned outpatient department$66.07$43.65 to $93.33

How much rates vary

Facilitymedian $66 · 10th to 90th $21 to $151Professionalmedian $65 · 10th to 90th $32 to $105
$20$50$100$200facility $66professional $65

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$69.18
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$77.62
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$87.10

Where Arizona sits

The same service costs 3.2 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.

Arizona· 36th of 51

$64.57

KS $110DC $34.67

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.