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Knee Immobilizer, Canvas Longitudinal, Off-the-Shelf

South Dakota rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Immobilizer, Canvas Longitudinal, Off-the-Shelf cost?

$61.66

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $48.98 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$69.18$58.88 to $81.28
FacilityA hospital or hospital-owned outpatient department$48.98$33.88 to $56.23

How much rates vary

Facilitymedian $49 · 10th to 90th $34 to $76Professionalmedian $69 · 10th to 90th $49 to $98
$50$100facility $49professional $69

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
$33.88
Median
$38.90
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$72.44
Avera
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Avera
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$97.72
Midlands
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$69.18
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where South Dakota sits

The same service costs 4.8 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.

South Dakota· 17th of 51

$61.66

HI $155DC $32.36

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.