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Knee Orthosis, Swedish Type, Off-the-Shelf

South Dakota rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Knee Orthosis, Swedish Type, Off-the-Shelf cost?

$229

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $302 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 7 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$229$178 to $275
FacilityA hospital or hospital-owned outpatient department$302$219 to $355

How much rates vary

Facilitymedian $302 · 10th to 90th $195 to $457Professionalmedian $229 · 10th to 90th $158 to $324
$100$200$500$1Kfacility $302professional $229

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
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$323.59
Midlands
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$660.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$190.55
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$234.42
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40

Where South Dakota sits

The same service costs 4.4 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· 6th of 51

$229

HI $457DC $105

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.