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

Nebraska 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?

$54.95

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $47.86 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 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$47.86$40.74 to $69.18
FacilityA hospital or hospital-owned outpatient department$85.11$67.61 to $110

How much rates vary

Facilitymedian $85 · 10th to 90th $55 to $224Professionalmedian $48 · 10th to 90th $41 to $110
$50$100$200facility $85professional $48

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
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$95.50
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$263.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$263.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$93.33

Where Nebraska 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.

Nebraska· 46th of 51

$54.95

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.