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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Tennessee 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?

$38.90

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $46.77 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$35.48$31.62 to $50.12
FacilityA hospital or hospital-owned outpatient department$46.77$46.77 to $46.77

How much rates vary

Facilitymedian $47 · 10th to 90th $44 to $51Professionalmedian $35 · 10th to 90th $29 to $437
$20$50$100$200$500facility $47professional $35

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.20
Typical High
$57.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.45
Median
$14.79
Typical High
$19.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.89
Median
$5.89
Typical High
$7.76
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.37
Median
$4.47
Typical High
$5.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.88
Median
$2.95
Typical High
$3.89
Ambetter
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$31.62
Typical High
$41.69

Where Tennessee 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.

Tennessee· 42nd of 51

$38.90

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.