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Knee Orthosis, Single Upright, Off-the-Shelf

South Dakota rates for HCPCS L1851

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, off-the-shelf

Rates data updated October 2026.

How much does Knee Orthosis, Single Upright, Off-the-Shelf cost?

$741

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,047 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$741$617 to $891
FacilityA hospital or hospital-owned outpatient department$1,047$1,000 to $1,047

How much rates vary

Facilitymedian $1,047 · 10th to 90th $692 to $1,698Professionalmedian $741 · 10th to 90th $447 to $1,000
$500$1K$2K$5Kfacility $1,047professional $741

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
$446.68
Median
$616.60
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$933.25
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$645.65
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
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
$645.65
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$537.03
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where South Dakota sits

The same service costs 2.2 times more in Kansas than in Utah. 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· 7th of 51

$741

KS $1,000UT $457

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.