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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 October 2026.

How much does Shoulder Orthosis (SO), Figure of Eight Abduction Restrainer cost?

$38.90

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $43.65 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.90$33.88 to $50.12
FacilityA hospital or hospital-owned outpatient department$43.65$42.66 to $46.77

How much rates vary

Facilitymedian $44 · 10th to 90th $43 to $105Professionalmedian $39 · 10th to 90th $34 to $83
$20$50$100$200facility $44professional $39

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$38.90
Typical High
$38.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.62
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.41
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.62
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.72
Median
$3.89
Typical High
$3.89
CareSource
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
CareSource
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$371.54
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$75.86
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$42.66
Typical High
$83.18

Where West Virginia 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.

West Virginia· 44th 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.