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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

New Jersey rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$650%20%10th90th$4Professionalmedian $35 · 10th–90th $28$760%10%20%10th90th$35$5.0$10.0$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
$3.24
Median
$4.07
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.88
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$69.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$100.00
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$40.74
Typical High
$74.13