go back

Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Oklahoma rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $41 · 10th–90th $20$1290%20%10th90th$41Professionalmedian $39 · 10th–90th $27$630%20%10th90th$39$20.0$50.0$100.0$200.0$500.0$1.0K

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
$20.42
Median
$33.88
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$47.86
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.88
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$58.88
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$50.12