go back

Ankle-Foot Orthosis, Prefabricated

South Dakota rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$288

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $339 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$288$195 to $339
FacilityA hospital or hospital-owned outpatient department$339$282 to $347

How much rates vary

Facilitymedian $339 · 10th to 90th $214 to $550Professionalmedian $288 · 10th to 90th $129 to $380
$100$200$500$1Kfacility $339professional $288

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$199.53
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$354.81
Typical High
$436.52
Medica
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$338.84
Typical High
$549.54
Medica
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$190.55
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$288.40
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$147.91
Typical High
$234.42
Wellmark
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where South Dakota sits

The same service costs 3.5 times more in Hawaii 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· 8th of 51

$288

HI $457DE $129

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.