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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Indiana rates for HCPCS L3650

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

Rates data updated July 2026.

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

$39.81

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $81.28 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$36.31 to $45.71
FacilityA hospital or hospital-owned outpatient department$81.28$63.10 to $105

How much rates vary

Facilitymedian $81 · 10th to 90th $39 to $141Professionalmedian $40 · 10th to 90th $32 to $60
$0.1$1.0$10.0$100.0facility $81professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$104.71
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.90
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$81.28
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$39.81
Typical High
$70.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.02
Typical High
$56.23

Where Indiana sits

The same service costs 3.4 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $39.81 · 30th of 51
HI $105DE $30.90

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.