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

Florida 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?

$69.18

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $79.43 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 8 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$69.18$60.26 to $93.33
FacilityA hospital or hospital-owned outpatient department$79.43$63.10 to $219

How much rates vary

Facilitymedian $79 · 10th to 90th $63 to $219Professionalmedian $69 · 10th to 90th $48 to $110
$50$100$200$500facility $79professional $69

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
Facility
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$177.83
AvMed
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
AvMed
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$87.10
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$85.11

Where Florida 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.

Florida· 26th of 51

$69.18

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.