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Knee Orthosis, Double Upright, Custom Fabricated

Maine rates for HCPCS L1846

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, custom fabricated

Rates data updated July 2026.

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

$891

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,514 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$851$759 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,514$832 to $1,738

How much rates vary

Facilitymedian $1,514 · 10th to 90th $776 to $1,862Professionalmedian $851 · 10th to 90th $617 to $1,288
$500$1K$2Kfacility $1,514professional $851

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
$616.60
Median
$758.58
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$831.76
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,513.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,258.93
Typical High
$1,288.25

Where Maine sits

The same service costs 3.5 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· 14th of 51

$891

HI $1,950DC $550

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.