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

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $64.57 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$64.57$54.95 to $77.62
FacilityA hospital or hospital-owned outpatient department$85.11$70.79 to $89.13

How much rates vary

Facilitymedian $85 · 10th to 90th $55 to $115Professionalmedian $65 · 10th to 90th $41 to $110
$50$100$200facility $85professional $65

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
$34.67
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$54.95
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$134.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$114.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$147.91
Sentara
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$91.20

Where Virginia 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.

Virginia· 28th 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.