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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 July 2026.

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

$186

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $195 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 7 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$186$145 to $240
FacilityA hospital or hospital-owned outpatient department$195$155 to $234

How much rates vary

Facilitymedian $195 · 10th to 90th $141 to $288Professionalmedian $186 · 10th to 90th $132 to $302
$100.0$200.0$500.0$1.0Kfacility $195professional $186

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$141.25
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$229.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$380.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where South Dakota sits

The same service costs 6.8 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $186 · 6th of 51
KS $575DC $85.11

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.