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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Nationwide rates for HCPCS L3650

Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $54 · 10th–90th $30$1740%20%10th90th$54Professionalmedian $42 · 10th–90th $31$950%20%10th90th$42$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$40.74
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$40.74
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$38.02
Typical High
$85.11