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Elbow Orthosis (EO), Rigid without Joints, Off-the-Shelf

South Dakota rates for HCPCS L3762

Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

Rates data updated October 2026.

How much does Elbow Orthosis (EO), Rigid without Joints, Off-the-Shelf cost?

$115

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $132 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$115$79.43 to $129
FacilityA hospital or hospital-owned outpatient department$132$87.10 to $138

How much rates vary

Facilitymedian $132 · 10th to 90th $79 to $224Professionalmedian $115 · 10th to 90th $48 to $158
$50$100$200$500facility $132professional $115

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$81.28
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$138.04
Typical High
$169.82
Medica
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$138.04
Typical High
$223.87
Medica
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$75.86
Typical High
$588.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Midlands
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$120.23
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$58.88
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82

Where South Dakota sits

The same service costs 2.5 times more in Kansas 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· 5th of 51

$115

KS $126DE $51.29

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.