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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Minnesota rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $132 · 10th–90th $55$6460%20%10th90th$132Professionalmedian $79 · 10th–90th $39$930%50%10th90th$79$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$16.98
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$79.43
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$117.49
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$645.65
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$123.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$79.43
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$32.36
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$50.12
Typical High
$112.20