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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

South Dakota rates for HCPCS L3740

Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

Rates data updated October 2026.

How much does Elbow Orthosis (EO), Double Upright Adjustable Position Lock cost?

$1,175

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,349 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$776 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,349$1,148 to $1,413

How much rates vary

Facilitymedian $1,349 · 10th to 90th $851 to $2,188Professionalmedian $1,175 · 10th to 90th $537 to $1,549
$500$1K$2K$5K$10Kfacility $1,349professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$758.58
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,089.30
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$645.65
Typical High
$977.24
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26

Where South Dakota sits

The same service costs 4.6 times more in Hawaii than in Delaware. 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· 8th of 51

$1,175

HI $2,455DE $537

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.