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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Florida rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $28$1260%20%10th90th$34Professionalmedian $36 · 10th–90th $28$620%20%10th90th$36$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$28.18
Median
$28.84
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$48.98
Typical High
$70.79
AvMed
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
AvMed
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$40.74
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$28.84
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$48.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$67.61