go back

Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Washington, DC rates for HCPCS L3650

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

Rates data updated October 2026.

How much does Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer cost?

$39.81

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $39.81 for this service. Most negotiated rates run $33.88 to $51.29.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31 · 10th to 90th $31 to $51Professionalmedian $40 · 10th to 90th $31 to $72
$20$50$100facility $31professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$60.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$15.49
Typical High
$21.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.17
Median
$6.17
Typical High
$8.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.57
Median
$4.57
Typical High
$6.46
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.09
Median
$3.09
Typical High
$4.27
CareFirst
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$64.57
Typical High
$147.91
United
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$40.74
Typical High
$81.28

Where Washington, DC sits

The same service costs 3.1 times more in Hawaii than in Florida. 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.

Washington, DC· 39th of 51

$39.81

HI $105FL $33.88

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.