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Elbow Orthosis (EO), Double Upright Free Motion

South Dakota rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Rates data updated July 2026.

How much does Elbow Orthosis (EO), Double Upright Free Motion cost?

$631

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $550 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$692$490 to $871
FacilityA hospital or hospital-owned outpatient department$550$550 to $661

How much rates vary

Facilitymedian $550 · 10th to 90th $550 to $851Professionalmedian $692 · 10th to 90th $479 to $1,096
$500$1K$2K$5Kfacility $550professional $692

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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$831.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44

Where South Dakota sits

The same service costs 4.8 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· 9th of 51

$631

HI $1,514DC $316

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.