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

West 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?

$66.07

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $66.07 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$66.07$57.54 to $77.62
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $70.79

How much rates vary

Facilitymedian $66 · 10th to 90th $66 to $145Professionalmedian $66 · 10th to 90th $46 to $100
$50$100$200$500facility $66professional $66

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
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$77.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$144.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$131.83

Where West 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.

West Virginia· 44th of 51

$66.07

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.