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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 July 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$263

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $282 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$251$200 to $339
FacilityA hospital or hospital-owned outpatient department$282$257 to $347

How much rates vary

Facilitymedian $282 · 10th to 90th $200 to $398Professionalmedian $251 · 10th to 90th $158 to $437
$100$200$500$1Kfacility $282professional $251

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
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$275.42
Avera
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$288.40
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$524.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$354.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where South Dakota sits

The same service costs 4.2 times more in Hawaii 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· 6th of 51

$263

HI $457DC $110

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.