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Shoulder Orthosis (SO), Acromioclavicular, Canvas

New Hampshire rates for HCPCS L3670

Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Shoulder Orthosis (SO), Acromioclavicular, Canvas cost?

$83.18

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $126 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$64.57 to $110
FacilityA hospital or hospital-owned outpatient department$126$53.70 to $135

How much rates vary

Facilitymedian $126 · 10th to 90th $45 to $155Professionalmedian $83 · 10th to 90th $54 to $166
$50$100$200facility $126professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$87.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$64.57
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$109.65
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$154.88

Where New Hampshire sits

The same service costs 3.6 times more in Hawaii than in Utah. 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.

New Hampshire· 22nd of 51

$83.18

HI $214UT $58.88

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.