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Knee Orthosis, Rigid, without Joints, Off-the-Shelf

Michigan rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Rigid, without Joints, Off-the-Shelf cost?

$87.10

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $141 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$85.11$66.07 to $97.72
FacilityA hospital or hospital-owned outpatient department$141$70.79 to $295

How much rates vary

Facilitymedian $141 · 10th to 90th $66 to $389Professionalmedian $85 · 10th to 90th $56 to $120
$2$10$50$200$1Kfacility $141professional $85

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
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$295.12
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$102.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$162.18
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$309.03
Typical High
$338.84
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$154.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$120.23

Where Michigan sits

The same service costs 3.0 times more in Minnesota 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.

Michigan· 18th of 51

$87.10

MN $135DC $45.71

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.