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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Nevada rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $21$910%20%40%10th90th$30Professionalmedian $35 · 10th–90th $28$1950%10%20%10th90th$35$1.0$5.0$20.0$100.0$500.0

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
$20.89
Median
$29.51
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$46.77
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.88
Typical High
$66.07
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$151.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$97.72