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South Dakota rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Facilitymedian $91 · 10th–90th $78–$1820%20%40%10th90th$91Professionalmedian $95 · 10th–90th $50–$1380%20%10th90th$95$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $138.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $251.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $102.33 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $288.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $109.65 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $97.72 / $134.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83