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

West 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?

$54.95

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $50.12 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 4 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$54.95$43.65 to $69.18
FacilityA hospital or hospital-owned outpatient department$50.12$50.12 to $54.95

How much rates vary

Facilitymedian $50 · 10th to 90th $50 to $112Professionalmedian $55 · 10th to 90th $35 to $79
$50$100$200facility $50professional $55

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. Small sample; interpret with caution. 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
$34.67
Median
$50.12
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$112.20
Typical High
$117.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$100.00

Where West 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.

West Virginia· 47th of 51

$54.95

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.