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Lumbo-Sacral, Hip, Femur Orthosis, Bilateral, Prefabricated

Maine rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Lumbo-Sacral, Hip, Femur Orthosis, Bilateral, Prefabricated cost?

$1,380

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $2,692 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$1,380$1,259 to $1,995
FacilityA hospital or hospital-owned outpatient department$2,692$1,585 to $2,692

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,288 to $2,884Professionalmedian $1,380 · 10th to 90th $1,000 to $1,995
$1K$2K$5Kfacility $2,692professional $1,380

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
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,288.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,288.25
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,949.84
Typical High
$1,995.26

Where Maine sits

The same service costs 2.7 times more in Kansas 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.

Maine· 16th of 51

$1,380

KS $2,512DC $933

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.