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Knee Orthosis, Single Upright, Custom Fitted

South Dakota rates for HCPCS L1843

Knee orthosis (KO), single 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated October 2026.

How much does Knee Orthosis, Single Upright, Custom Fitted cost?

$1,072

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,202 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$724 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,202$794 to $1,259

How much rates vary

Facilitymedian $1,202 · 10th to 90th $741 to $2,042Professionalmedian $1,072 · 10th to 90th $437 to $1,445
$500$1K$2K$5Kfacility $1,202professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$741.31
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,258.93
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$691.83
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,949.84
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$537.03
Typical High
$851.14
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52

Where South Dakota sits

The same service costs 2.1 times more in Iowa than in New Hampshire. 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· 2nd of 51

$1,072

IA $1,096NH $513

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.