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

North Carolina 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?

$89.13

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $85.11 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$89.13$69.18 to $93.33
FacilityA hospital or hospital-owned outpatient department$85.11$70.79 to $102

How much rates vary

Facilitymedian $85 · 10th to 90th $50 to $162Professionalmedian $89 · 10th to 90th $48 to $110
$10$20$50$100$200facility $85professional $89

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
$70.79
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$93.33
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$97.72
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
$87.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$83.18
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$95.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$562.34

Where North Carolina 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.

North Carolina· 4th of 51

$89.13

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.