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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Utah 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?

$38.90

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $33.88 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 7 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$43.65$32.36 to $66.07
FacilityA hospital or hospital-owned outpatient department$33.88$30.20 to $38.02

How much rates vary

Facilitymedian $34 · 10th to 90th $5 to $43Professionalmedian $44 · 10th to 90th $30 to $245
$5$10$20$50$100$200facility $34professional $44

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$33.88
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$46.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$61.66
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$66.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$77.62
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$66.07
Typical High
$70.79
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$66.07
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$50.12

Where Utah 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.

Utah· 38th of 51

$38.90

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.