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Knee Orthosis, Elastic with Joints, Off-the-Shelf

South Dakota rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Elastic with Joints, Off-the-Shelf cost?

$77.62

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $95.50 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 8 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$75.86$67.61 to $87.10
FacilityA hospital or hospital-owned outpatient department$95.50$75.86 to $115

How much rates vary

Facilitymedian $95 · 10th to 90th $66 to $141Professionalmedian $76 · 10th to 90th $54 to $110
$50$100$200facility $95professional $76

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
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$79.43
Avera
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Avera
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$109.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$109.65
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$75.86
Typical High
$97.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72

Where South Dakota sits

The same service costs 3.2 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.

South Dakota· 11th of 51

$77.62

KS $110DC $34.67

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.