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

Utah rates for HCPCS L3660

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

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $36$1480%20%40%10th90th$56Professionalmedian $50 · 10th–90th $25$2820%10%10th90th$50$50.0$100.0$200.0$500.0

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
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$45.71
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$134.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$131.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$151.36
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$56.23
Typical High
$89.13