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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Massachusetts rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $35$1580%20%10th90th$100Professionalmedian $71 · 10th–90th $35$1510%20%10th90th$71$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$39.81
Typical High
$245.47
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$426.58
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$63.10
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$69.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$107.15
Health New England
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$43.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$426.58
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$63.10
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$42.66
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$75.86