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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Missouri rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $10$1020%20%10th90th$59Professionalmedian $42 · 10th–90th $32$1550%20%10th90th$42$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
$5.50
Median
$14.79
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$40.74
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$38.90
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$63.10
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$70.79