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

Idaho 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?

$70.79

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $70.79 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$61.66 to $87.10
FacilityA hospital or hospital-owned outpatient department$70.79$67.61 to $93.33

How much rates vary

Facilitymedian $71 · 10th to 90th $59 to $123Professionalmedian $69 · 10th to 90th $48 to $120
$50$100$200facility $71professional $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
Professional
Modifier
Global
Typical Low
$37.15
Median
$69.18
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$104.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$91.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$79.43
Select Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$186.21
Select Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$60.26
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$87.10

Where Idaho 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.

Idaho· 20th of 51

$70.79

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.