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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Oregon rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $66 · 10th–90th $52$690%50%10th90th$66Professionalmedian $52 · 10th–90th $32$1170%10%20%10th90th$52$0.1$1.0$10.0$100.0$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
Professional
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$117.49
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
$33.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$144.54
Typical High
$173.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$75.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$77.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$69.18
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$69.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$60.26
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$32.36
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$61.66