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Knee Orthosis, Inflatable Air Chambers, Off-the-Shelf

Maine rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Inflatable Air Chambers, Off-the-Shelf cost?

$407

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $794 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$407$389 to $589
FacilityA hospital or hospital-owned outpatient department$794$437 to $794

How much rates vary

Facilitymedian $794 · 10th to 90th $389 to $912Professionalmedian $407 · 10th to 90th $295 to $589
$200$500$1Kfacility $794professional $407

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
$295.12
Median
$389.05
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$707.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$588.84
Typical High
$588.84

Where Maine sits

The same service costs 2.5 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· 19th of 51

$407

HI $692DC $275

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.