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Elbow-Wrist-Hand-Finger Orthosis (EWHFO), Rigid

South Dakota rates for HCPCS L3765

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

Rates data updated October 2026.

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

$1,349

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $1,585 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$1,349$955 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,585$1,023 to $1,660

How much rates vary

Facilitymedian $1,585 · 10th to 90th $955 to $2,692Professionalmedian $1,349 · 10th to 90th $575 to $1,862
$500$1K$2K$5Kfacility $1,585professional $1,349

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
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$891.25
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$2,570.40
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$1,659.59
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$691.83
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96

Where South Dakota sits

The same service costs 2.2 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

$1,349

HI $1,479DE $661

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.