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Hip-Knee-Ankle-Foot Orthosis, Ball Bearing Hip Joint

South Dakota rates for HCPCS L2090

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated

Rates data updated July 2026.

Facilitymedian $525 · 10th–90th $372$7590%10%20%10th90th$525Professionalmedian $525 · 10th–90th $347$8710%10%10th90th$525$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$363.08
Typical High
$3,548.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$602.56
Midlands
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$977.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$707.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54