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Knee Orthosis, Elastic with Joints, Off-the-Shelf

Maine rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Elastic with Joints, Off-the-Shelf cost?

$70.79

Typical negotiated rate. In Maine, 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 $95.50 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$70.79$61.66 to $70.79
FacilityA hospital or hospital-owned outpatient department$95.50$83.18 to $95.50

How much rates vary

Facilitymedian $95 · 10th to 90th $66 to $110Professionalmedian $71 · 10th to 90th $50 to $72
$50$100facility $95professional $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. 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
$40.74
Median
$69.18
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$97.72

Where Maine sits

The same service costs 3.2 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· 21st of 51

$70.79

KS $110DC $34.67

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.