go back

Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Arizona rates for HCPCS L3674

Shoulder orthosis (SO), abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Shoulder Orthosis (SO), Airplane Design, Custom Fabricated cost?

$692

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,148 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 5 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$692$537 to $832
FacilityA hospital or hospital-owned outpatient department$1,148$646 to $1,698

How much rates vary

Facilitymedian $1,148 · 10th to 90th $389 to $2,455Professionalmedian $692 · 10th to 90th $501 to $1,318
$500$1K$2K$5Kfacility $1,148professional $692

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
Professional
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,412.54
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$575.44
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,023.29
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$870.96

Where Arizona sits

The same service costs 2.6 times more in Kansas 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.

Arizona· 36th of 51

$692

KS $1,349DC $513

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.