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

Missouri 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?

$69.18

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $77.62 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 7 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$51.29 to $91.20
FacilityA hospital or hospital-owned outpatient department$77.62$54.95 to $85.11

How much rates vary

Facilitymedian $78 · 10th to 90th $45 to $151Professionalmedian $69 · 10th to 90th $46 to $115
$50$100$200facility $78professional $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
Facility
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$93.33

Where Missouri 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.

Missouri· 23rd of 51

$69.18

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.