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Knee Orthosis, Double Upright, Off-the-Shelf

South Dakota rates for HCPCS L1852

Knee orthosis (KO), double 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 July 2026.

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

$617

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $759 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$617$562 to $708
FacilityA hospital or hospital-owned outpatient department$759$617 to $933

How much rates vary

Facilitymedian $759 · 10th to 90th $537 to $1,514Professionalmedian $617 · 10th to 90th $437 to $891
$500$1K$2Kfacility $759professional $617

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
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$616.60
Avera
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$724.44
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$4,168.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$537.03
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$630.96
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33

Where South Dakota sits

The same service costs 3.1 times more in Kansas 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· 11th of 51

$617

KS $933DC $302

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.