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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Colorado rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $47 · 10th–90th $21$930%10%20%10th90th$47Professionalmedian $36 · 10th–90th $31$1050%20%40%10th90th$36$0.1$0.5$2.0$10.0$50.0$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
Facility
Modifier
Global
Typical Low
$6.76
Median
$36.31
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$69.18
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$53.70
Typical High
$91.20
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$147.91
Select Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$141.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$50.12