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

New Jersey 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?

$70.79

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $53.70 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 5 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$54.95 to $95.50
FacilityA hospital or hospital-owned outpatient department$53.70$53.70 to $79.43

How much rates vary

Facilitymedian $54 · 10th to 90th $54 to $100Professionalmedian $71 · 10th to 90th $47 to $132
$50$100$200facility $54professional $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
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$144.54
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$117.49

Where New Jersey 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.

New Jersey· 39th of 51

$70.79

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.