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

Iowa 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?

$75.86

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $83.18 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$75.86$53.70 to $97.72
FacilityA hospital or hospital-owned outpatient department$83.18$60.26 to $148

How much rates vary

Facilitymedian $83 · 10th to 90th $54 to $245Professionalmedian $76 · 10th to 90th $46 to $126
$50$100$200facility $83professional $76

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
$47.86
Median
$61.66
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$120.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$190.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$263.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$102.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$97.72

Where Iowa 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.

Iowa· 13th of 51

$75.86

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.