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Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf

Maine rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Rates data updated July 2026.

How much does Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf cost?

$457

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $617 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$457$427 to $457
FacilityA hospital or hospital-owned outpatient department$617$468 to $631

How much rates vary

Facilitymedian $617 · 10th to 90th $427 to $708Professionalmedian $457 · 10th to 90th $324 to $537
$200$500$1Kfacility $617professional $457

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
$251.19
Median
$426.58
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$467.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$549.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$741.31

Where Maine sits

The same service costs 3.0 times more in Hawaii 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

$457

HI $708DC $234

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.