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Hand Orthosis (HO), Metacarpal Fracture, Off-the-Shelf

South Dakota rates for HCPCS L3918

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Hand Orthosis (HO), Metacarpal Fracture, Off-the-Shelf cost?

$89.13

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $107 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 6 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$85.11$79.43 to $135
FacilityA hospital or hospital-owned outpatient department$107$87.10 to $129

How much rates vary

Facilitymedian $107 · 10th to 90th $79 to $158Professionalmedian $85 · 10th to 90th $72 to $166
$50$100$200$500facility $107professional $85

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
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$125.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$81.28
Typical High
$134.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20

Where South Dakota sits

The same service costs 2.5 times more in Wisconsin 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· 11th of 51

$89.13

WI $115DC $46.77

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.