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Knee Orthosis, Double Upright, Off-the-Shelf

Maine rates for HCPCS L1852

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, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Double Upright, Off-the-Shelf cost?

$575

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $776 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$575$501 to $589
FacilityA hospital or hospital-owned outpatient department$776$646 to $794

How much rates vary

Facilitymedian $776 · 10th to 90th $537 to $891Professionalmedian $575 · 10th to 90th $380 to $661
$500$1Kfacility $776professional $575

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
$338.84
Median
$588.84
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$645.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$691.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$812.83

Where Maine sits

The same service costs 3.1 times more in Kansas 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· 22nd of 51

$575

KS $933DC $302

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.