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

Georgia 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?

$81.28

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $85.11 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$81.28$54.95 to $123
FacilityA hospital or hospital-owned outpatient department$85.11$52.48 to $204

How much rates vary

Facilitymedian $85 · 10th to 90th $52 to $316Professionalmedian $81 · 10th to 90th $50 to $138
$50$100$200facility $85professional $81

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
$52.48
Median
$52.48
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$204.17
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$104.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$177.83
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$204.17
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$114.82

Where Georgia 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.

Georgia· 9th of 51

$81.28

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.