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Knee Orthosis, Single Upright, Custom Fabricated

Maine rates for HCPCS L1844

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Rates data updated July 2026.

How much does Knee Orthosis, Single Upright, Custom Fabricated cost?

$1,175

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,995 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$1,148$1,072 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,995$1,202 to $2,291

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,122 to $2,455Professionalmedian $1,148 · 10th to 90th $832 to $1,698
$1K$2K$5Kfacility $1,995professional $1,148

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
$831.76
Median
$1,071.52
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,995.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,659.59
Typical High
$1,698.24

Where Maine sits

The same service costs 2.9 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· 17th of 51

$1,175

HI $2,138DC $741

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.