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

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $110 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$77.62$67.61 to $93.33
FacilityA hospital or hospital-owned outpatient department$110$95.50 to $117

How much rates vary

Facilitymedian $110 · 10th to 90th $76 to $170Professionalmedian $78 · 10th to 90th $52 to $141
$50$200$1K$5Kfacility $110professional $78

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
$45.71
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$77.62
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$158.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$138.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$467.74
Sentara
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$77.62
Typical High
$125.89

Where Virginia 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.

Virginia· 24th 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.