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Shoulder Orthosis (SO), without Joints, Custom Fabricated

West Virginia 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?

$479

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $501 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 4 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$479$468 to $501
FacilityA hospital or hospital-owned outpatient department$501$501 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $501 to $1,349Professionalmedian $479 · 10th to 90th $398 to $589
$500$1K$2K$5Kfacility $501professional $479

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
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,348.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$794.33

Where West Virginia sits

The same service costs 2.5 times more in Wisconsin than in Washington, DC. 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.

West Virginia· 41st of 51

$479

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.