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Shoulder Orthosis (SO), without Joints, Custom Fabricated

Hawaii rates for HCPCS L3671

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Shoulder Orthosis (SO), without Joints, Custom Fabricated cost?

$977

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $589 to $977.

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.

How much rates vary

Facilitymedian $550 · 10th to 90th $437 to $759Professionalmedian $977 · 10th to 90th $331 to $1,023
$500.0$1.0Kfacility $550professional $977

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$1,202.26
HMSA
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,202.26

Where Hawaii sits

The same service costs 2.5 times more in Wisconsin than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $977 · 2nd of 51
WI $977DC $398

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.