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

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $132 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 9 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$70.79$58.88 to $93.33
FacilityA hospital or hospital-owned outpatient department$132$112 to $166

How much rates vary

Facilitymedian $132 · 10th to 90th $55 to $275Professionalmedian $71 · 10th to 90th $51 to $178
$100$1K$10Kfacility $132professional $71

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$380.19
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$141.25
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
$87.10
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$107.15
Health New England
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Health New England
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$251.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$380.19
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$93.33

Where Massachusetts 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.

Massachusetts· 19th 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.