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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Louisiana rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $47 · 10th–90th $39$1200%20%10th90th$47Professionalmedian $39 · 10th–90th $28$550%20%10th90th$39$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
$38.90
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.90
Typical High
$54.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.88
Typical High
$48.98