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

Maine 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?

$89.13

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $123 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$89.13$75.86 to $89.13
FacilityA hospital or hospital-owned outpatient department$123$91.20 to $123

How much rates vary

Facilitymedian $123 · 10th to 90th $76 to $132Professionalmedian $89 · 10th to 90th $52 to $95
$50$100$200facility $123professional $89

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
$52.48
Median
$75.86
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$75.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$131.83

Where Maine 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.

Maine· 11th of 51

$89.13

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.