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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Delaware rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $44 · 10th–90th $0$690%20%40%10th90th$44Professionalmedian $31 · 10th–90th $30$3310%50%10th90th$31$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.90
Typical High
$331.13
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
United
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$34.67
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$56.23