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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Kansas rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $21$790%20%10th90th$60Professionalmedian $72 · 10th–90th $34$720%50%10th$72$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
$13.80
Median
$42.66
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$41.69
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$53.70
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.90
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$63.10
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$38.90
Typical High
$70.79