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

South Dakota rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single 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, Single Upright cost?

$1,778

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $1,820 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$1,778$1,288 to $2,291
FacilityA hospital or hospital-owned outpatient department$1,820$1,445 to $2,188

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,288 to $2,570Professionalmedian $1,778 · 10th to 90th $1,175 to $2,884
$1K$2K$5K$10Kfacility $1,820professional $1,778

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
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,348.96
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,388.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$2,344.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09

Where South Dakota sits

The same service costs 3.4 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· 8th of 51

$1,778

HI $2,818DC $832

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.