go back

South Dakota rates for HCPCS L2136

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment

Facilitymedian $1,122 · 10th–90th $1,047$1,8620%20%40%10th90th$1,122Professionalmedian $1,047 · 10th–90th $646$2,0890%20%10th90th$1,047$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$1,479.11
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,698.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26