go back

Elbow-Wrist-Hand Orthosis (EWHO), Rigid

South Dakota rates for HCPCS L3763

Elbow-wrist-hand orthosis (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Elbow-Wrist-Hand Orthosis (EWHO), Rigid cost?

$692

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $912 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$646$513 to $955
FacilityA hospital or hospital-owned outpatient department$912$832 to $912

How much rates vary

Facilitymedian $912 · 10th to 90th $589 to $912Professionalmedian $646 · 10th to 90th $479 to $1,202
$500$1K$2Kfacility $912professional $646

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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$4,365.16
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$851.14
Midlands
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,348.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$977.24
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
$562.34
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where South Dakota sits

The same service costs 3.2 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· 7th of 51

$692

HI $977DC $309

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.