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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Rhode Island rates for HCPCS L3650

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

Rates data updated October 2026.

How much does Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer cost?

$47.86

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $151 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$39.81 to $52.48
FacilityA hospital or hospital-owned outpatient department$151$117 to $170

How much rates vary

Facilitymedian $151 · 10th to 90th $89 to $186Professionalmedian $48 · 10th to 90th $34 to $68
$50$100facility $151professional $48

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.50
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.89
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.98
Median
$4.79
Typical High
$4.79
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$162.18
Typical High
$186.21
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$74.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
United
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$43.65
Typical High
$67.61

Where Rhode Island sits

The same service costs 3.1 times more in Hawaii than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 22nd of 51

$47.86

HI $105FL $33.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.