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Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf

South Dakota rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Rates data updated July 2026.

How much does Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf cost?

$537

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $501 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$537$417 to $562
FacilityA hospital or hospital-owned outpatient department$501$417 to $692

How much rates vary

Facilitymedian $501 · 10th to 90th $380 to $832Professionalmedian $537 · 10th to 90th $380 to $708
$500$1K$2Kfacility $501professional $537

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
$380.19
Median
$380.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$562.34
Avera
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Avera
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$676.08
Midlands
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$489.78
Typical High
$602.56
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60

Where South Dakota sits

The same service costs 3.0 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· 5th of 51

$537

HI $708DC $234

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.