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

New Mexico 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?

$66.07

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $363 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 6 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$66.07$53.70 to $85.11
FacilityA hospital or hospital-owned outpatient department$363$79.43 to $589

How much rates vary

Facilitymedian $363 · 10th to 90th $52 to $692Professionalmedian $66 · 10th to 90th $41 to $110
$100$1K$10K$100Kfacility $363professional $66

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
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$69.18
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$446.68
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$123.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$60.26
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$87.10

Where New Mexico 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.

New Mexico· 34th of 51

$66.07

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.