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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.

How much does Hip-Knee-Ankle-Foot Orthosis, Ball Bearing Hip Joint cost?

$525

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $525 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$525$372 to $692
FacilityA hospital or hospital-owned outpatient department$525$407 to $631

How much rates vary

Facilitymedian $525 · 10th to 90th $372 to $759Professionalmedian $525 · 10th to 90th $347 to $871
$200$500$1K$2Kfacility $525professional $525

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
$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

Where South Dakota sits

The same service costs 4.4 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· 5th of 51

$525

HI $891DC $204

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.