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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

North Dakota rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $48$980%20%40%90th$48Professionalmedian $55 · 10th–90th $39$810%10%10th90th$55$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
$47.86
Median
$47.86
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$72.44
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$93.33