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Ankle Orthosis, Supramalleolar, Custom Fabricated

South Dakota rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Rates data updated October 2026.

How much does Ankle Orthosis, Supramalleolar, Custom Fabricated cost?

$676

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $759 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$676$457 to $741
FacilityA hospital or hospital-owned outpatient department$759$501 to $794

How much rates vary

Facilitymedian $759 · 10th to 90th $457 to $1,288Professionalmedian $676 · 10th to 90th $275 to $912
$500$1K$2Kfacility $759professional $676

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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$478.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$794.33
Typical High
$977.24
Medica
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$794.33
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$436.52
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Midlands
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Midlands
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$691.83
Typical High
$794.33
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$338.84
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08

Where South Dakota sits

The same service costs 2.2 times more in Montana than in Delaware. 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· 4th of 51

$676

MT $692DE $309

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.