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

Pennsylvania 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?

$331

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $646 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 9 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$331$309 to $437
FacilityA hospital or hospital-owned outpatient department$646$275 to $1,072

How much rates vary

Facilitymedian $646 · 10th to 90th $275 to $1,072Professionalmedian $331 · 10th to 90th $275 to $676
$1.0$10.0$100.0$1.0K$10.0Kfacility $646professional $331

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$478.63
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$436.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,318.26
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,071.52
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$575.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,380.38
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$851.14
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$707.95

Where Pennsylvania sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $331 · 43rd of 51
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.