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Shoulder Orthosis (SO), Figure of Eight Restrainer, Canvas

South Dakota rates for HCPCS L3660

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

Rates data updated October 2026.

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

$138

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $158 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$97.72 to $148
FacilityA hospital or hospital-owned outpatient department$158$129 to $170

How much rates vary

Facilitymedian $158 · 10th to 90th $98 to $275Professionalmedian $132 · 10th to 90th $59 to $166
$50$100$200$500facility $158professional $132

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$154.88
Typical High
$165.96
Medica
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$169.82
Typical High
$275.42
Medica
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$87.10
Typical High
$741.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Midlands
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Midlands
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$63.10
Typical High
$100.00
Wellmark
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04

Where South Dakota sits

The same service costs 2.8 times more in Wyoming 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.

South Dakota· 4th of 51

$138

WY $145DE $51.29

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.