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Elbow Orthosis (EO), Double Upright Extension/Flexion Assist

South Dakota rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Rates data updated July 2026.

How much does Elbow Orthosis (EO), Double Upright Extension/Flexion Assist cost?

$955

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,000 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$955$692 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,000$851 to $1,259

How much rates vary

Facilitymedian $1,000 · 10th to 90th $676 to $1,349Professionalmedian $955 · 10th to 90th $676 to $1,445
$500.0$1.0K$2.0K$5.0Kfacility $1,000professional $955

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
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$707.95
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,288.25
Typical High
$1,288.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,778.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,174.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15

Where South Dakota sits

The same service costs 4.1 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $955 · 8th of 51
HI $1,660DC $407

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.