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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Idaho rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $65 · 10th–90th $35$870%20%10th90th$65Professionalmedian $48 · 10th–90th $31$780%10%20%10th90th$48$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
$26.30
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$58.88
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$107.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$38.02
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$32.36
Typical High
$46.77