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Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright

South Dakota rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Rates data updated July 2026.

How much does Knee-Ankle-Foot Orthosis, Full Plastic, Double Upright cost?

$1,950

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $2,188 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$1,950$1,549 to $2,570
FacilityA hospital or hospital-owned outpatient department$2,188$1,698 to $2,630

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,413 to $3,162Professionalmedian $1,950 · 10th to 90th $1,318 to $3,236
$1.0K$2.0K$5.0K$10.0Kfacility $2,188professional $1,950

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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,513.56
Typical High
$13,489.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,073.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,584.89
Typical High
$2,630.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30

Where South Dakota sits

The same service costs 3.1 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $1,950 · 8th of 51
HI $2,754DC $891

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.