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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Kentucky rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $38 · 10th–90th $27$1050%20%40%10th90th$38Professionalmedian $38 · 10th–90th $31$450%50%10th90th$38$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
$23.99
Median
$33.88
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$42.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.02
Typical High
$40.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$114.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.11
Typical High
$53.70