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Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer

West Virginia rates for HCPCS L3650

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

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $39$3160%20%10th90th$43Professionalmedian $37 · 10th–90th $31$480%50%10th90th$37$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$37.15
Typical High
$38.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$371.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$43.65
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$70.79