go back

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

Washington 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 $115 · 10th–90th $76$2750%10%20%10th90th$115Professionalmedian $93 · 10th–90th $36$1950%10%10th90th$93$1.0$5.0$20.0$100.0$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
$75.86
Median
$75.86
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$75.86
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$112.20
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$70.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$95.50
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$144.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$229.09
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$109.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$112.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$154.88
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$109.65
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$97.72