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

Tennessee 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?

$53.70

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $87.10 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$53.70$47.86 to $74.13
FacilityA hospital or hospital-owned outpatient department$87.10$54.95 to $380

How much rates vary

Facilitymedian $87 · 10th to 90th $54 to $380Professionalmedian $54 · 10th to 90th $45 to $105
$50$100$200$500facility $87professional $54

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
$48.98
Median
$53.70
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$87.10

Where Tennessee 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.

Tennessee· 48th of 51

$53.70

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.