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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Alaska rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $21$930%20%40%10th90th$39Professionalmedian $51 · 10th–90th $36$1200%20%10th90th$51$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$114.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$46.77
Typical High
$93.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$213.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$95.50
Typical High
$97.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$97.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$34.67
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$239.88