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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

New Mexico rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $32$6030%10%10th90th$178Professionalmedian $43 · 10th–90th $32$1860%20%10th90th$43$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$380.19
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$107.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$51.29
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$48.98