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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 October 2026.

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

$66.07

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $75.86 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$43.65 to $85.11
FacilityA hospital or hospital-owned outpatient department$75.86$64.57 to $83.18

How much rates vary

Facilitymedian $76 · 10th to 90th $52 to $123Professionalmedian $66 · 10th to 90th $32 to $91
$50$100$200facility $76professional $66

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
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$44.67
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$91.20
Typical High
$114.82
Medica
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$75.86
Typical High
$123.03
Medica
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$43.65
Typical High
$426.58
Midlands
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Midlands
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Midlands
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$117.49
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$66.07
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$36.31
Typical High
$54.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86

Where South Dakota 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.

South Dakota· 7th of 51

$66.07

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.