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

South 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?

$66.07

Typical negotiated rate. In South Carolina, 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 $60.26 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$66.07$50.12 to $93.33
FacilityA hospital or hospital-owned outpatient department$60.26$50.12 to $87.10

How much rates vary

Facilitymedian $60 · 10th to 90th $50 to $126Professionalmedian $66 · 10th to 90th $49 to $110
$10$20$50$100$200facility $60professional $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
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$158.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$102.33

Where South 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.

South Carolina· 35th 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.