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Elbow Orthosis (EO), Adjustable Position Lock, Off-the-Shelf

South Dakota rates for HCPCS L3761

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Elbow Orthosis (EO), Adjustable Position Lock, Off-the-Shelf cost?

$447

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $525 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$447$380 to $631
FacilityA hospital or hospital-owned outpatient department$525$407 to $646

How much rates vary

Facilitymedian $525 · 10th to 90th $372 to $759Professionalmedian $447 · 10th to 90th $347 to $794
$200.0$500.0$1.0K$2.0Kfacility $525professional $447

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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$602.56
Midlands
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$398.11
Typical High
$645.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81

Where South Dakota sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $447 · 8th of 51
MN $550DC $219

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.