go back

Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

South Dakota rates for HCPCS L3650

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

Rates data updated July 2026.

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

$54.95

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $54.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$44.67 to $85.11
FacilityA hospital or hospital-owned outpatient department$54.95$16.98 to $75.86

How much rates vary

Facilitymedian $55 · 10th to 90th $17 to $89Professionalmedian $55 · 10th to 90th $39 to $115
$20$50$100$200facility $55professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$61.66
Avera
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$85.11
Midlands
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$117.49
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$50.12
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86

Where South Dakota sits

The same service costs 3.4 times more in Hawaii than in Delaware. 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.

South Dakota· 11th of 51

$54.95

HI $105DE $30.90

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.