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Knee Orthosis, Double Upright, Custom Fitted

Maine rates for HCPCS L1845

Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

How much does Knee Orthosis, Double Upright, Custom Fitted cost?

$589

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,023 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$589$550 to $851
FacilityA hospital or hospital-owned outpatient department$1,023$631 to $1,175

How much rates vary

Facilitymedian $1,023 · 10th to 90th $457 to $1,230Professionalmedian $589 · 10th to 90th $457 to $851
$500$1K$2Kfacility $1,023professional $589

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
$426.58
Median
$549.54
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$851.14
Typical High
$851.14

Where Maine sits

The same service costs 2.3 times more in Wisconsin 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· 23rd of 51

$589

WI $1,023DC $447

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.