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

Missouri 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?

$83.18

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $97.72 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$81.28$60.26 to $93.33
FacilityA hospital or hospital-owned outpatient department$97.72$70.79 to $102

How much rates vary

Facilitymedian $98 · 10th to 90th $59 to $200Professionalmedian $81 · 10th to 90th $56 to $158
$50$100$200$500facility $98professional $81

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
$58.88
Median
$58.88
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$83.18
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$109.65

Where Missouri 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.

Missouri· 21st of 51

$83.18

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.