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Shoulder Orthosis (SO), Acromioclavicular, Canvas

South Dakota rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Shoulder Orthosis (SO), Acromioclavicular, Canvas cost?

$105

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $107 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 8 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$100$66.07 to $141
FacilityA hospital or hospital-owned outpatient department$107$63.10 to $110

How much rates vary

Facilitymedian $107 · 10th to 90th $20 to $151Professionalmedian $100 · 10th to 90th $49 to $182
$20$50$100$200$500$1K$2Kfacility $107professional $100

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$107.15
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$112.20
Avera
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$138.04
Avera
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$181.97
Midlands
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$223.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$147.91
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where South Dakota sits

The same service costs 3.6 times more in Hawaii than in Utah. 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· 9th of 51

$105

HI $214UT $58.88

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.