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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

South Carolina rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $45 · 10th–90th $20$690%20%10th90th$45Professionalmedian $37 · 10th–90th $32$630%20%40%10th90th$37$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
$19.95
Median
$44.67
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$34.67
Typical High
$57.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$52.48
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$91.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$114.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$45.71