go back

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

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $182 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$70.79$54.95 to $87.10
FacilityA hospital or hospital-owned outpatient department$182$87.10 to $182

How much rates vary

Facilitymedian $182 · 10th to 90th $51 to $257Professionalmedian $71 · 10th to 90th $50 to $98
$50$100$200$500facility $182professional $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
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$229.09
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$79.43
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$100.00
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$117.49
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
$85.11
Typical High
$123.03
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$141.25
Typical High
$158.49
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$97.72
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$70.79
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$97.72

Where Michigan 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.

Michigan· 12th 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.