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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Maryland rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $22$1020%5%10%10th90th$40Professionalmedian $37 · 10th–90th $31$1170%20%10th90th$37$20.0$50.0$100.0$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
$19.05
Median
$102.33
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$52.48
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
$46.77
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$61.66
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$64.57