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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

Vermont rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $44 · 10th–90th $25$600%20%10th90th$44Professionalmedian $44 · 10th–90th $35$660%20%10th90th$44$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$50.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$50.12
Typical High
$162.18