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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 July 2026.

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

$575

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $631 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$575$468 to $794
FacilityA hospital or hospital-owned outpatient department$631$501 to $759

How much rates vary

Facilitymedian $631 · 10th to 90th $457 to $933Professionalmedian $575 · 10th to 90th $427 to $977
$200.0$500.0$1.0K$2.0Kfacility $631professional $575

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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$575.44
Avera
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$741.31
Midlands
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$794.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08

Where South Dakota sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $575 · 7th of 51
MN $676DC $269

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.