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Dynamic Flexor Hinge Orthosis, Cable Driven

South Dakota rates for HCPCS L3901

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Rates data updated July 2026.

How much does Dynamic Flexor Hinge Orthosis, Cable Driven cost?

$1,778

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,138 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$1,738$1,549 to $2,692
FacilityA hospital or hospital-owned outpatient department$2,138$1,549 to $2,344

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,349 to $3,090Professionalmedian $1,738 · 10th to 90th $1,288 to $3,388
$1K$2K$5K$10Kfacility $2,138professional $1,738

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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,548.82
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,073.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,479.11
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota sits

The same service costs 3.3 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· 6th of 51

$1,778

HI $2,399DC $724

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.