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Knee-Ankle-Foot Orthosis, Full Plastic, Static, Pediatric

South Dakota rates for HCPCS L2035

Knee-ankle-foot orthosis (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Static, Pediatric cost?

$209

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $234 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$209$141 to $229
FacilityA hospital or hospital-owned outpatient department$234$155 to $245

How much rates vary

Facilitymedian $234 · 10th to 90th $141 to $398Professionalmedian $209 · 10th to 90th $85 to $282
$100$200$500$1Kfacility $234professional $209

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$239.88
Typical High
$302.00
Medica
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$245.47
Typical High
$398.11
Medica
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$134.90
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Midlands
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$380.19
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$208.93
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$104.71
Typical High
$165.96
Wellmark
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where South Dakota sits

The same service costs 5.4 times more in Kansas than in West Virginia. 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· 5th of 51

$209

KS $575WV $107

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.