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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Montana rates for HCPCS L3650

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

Rates data updated October 2026.

How much does Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer cost?

$69.18

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $69.18 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$51.29 to $69.18
FacilityA hospital or hospital-owned outpatient department$69.18$66.07 to $3,802

How much rates vary

Facilitymedian $69 · 10th to 90th $50 to $3,890Professionalmedian $66 · 10th to 90th $32 to $79
$50$100$200$500$1K$2K$5Kfacility $69professional $66

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$61.66
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$69.18
Typical High
$69.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$83.18
Typical High
$3,890.45
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$74.13
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$69.18
Typical High
$69.18
Providence
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$69.18
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$32.36
Typical High
$54.95

Where Montana sits

The same service costs 3.1 times more in Hawaii than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 6th of 51

$69.18

HI $105FL $33.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.