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

Utah 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?

$69.18

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $54.95 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$70.79$57.54 to $87.10
FacilityA hospital or hospital-owned outpatient department$54.95$47.86 to $69.18

How much rates vary

Facilitymedian $55 · 10th to 90th $48 to $71Professionalmedian $71 · 10th to 90th $39 to $98
$50$100$200facility $55professional $71

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
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$97.72
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
$85.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$93.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$79.43
Select Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$100.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$87.10

Where Utah 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.

Utah· 31st of 51

$69.18

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.