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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Texas rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $54 · 10th–90th $32$1780%10%20%10th90th$54Professionalmedian $34 · 10th–90th $31$600%50%10th90th$34$0.1$1.0$10.0$100.0$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
$32.36
Median
$33.11
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$93.33
Christus
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$562.34
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$56.23
Typical High
$95.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$41.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$53.70
Typical High
$95.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$58.88
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$47.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$97.72