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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Iowa 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?

$871

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $955 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 8 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$832$646 to $1,230
FacilityA hospital or hospital-owned outpatient department$955$813 to $1,862

How much rates vary

Facilitymedian $955 · 10th to 90th $617 to $3,090Professionalmedian $832 · 10th to 90th $575 to $1,698
$500$1K$2K$5Kfacility $955professional $832

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
$602.56
Median
$891.25
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$1,862.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$3,467.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$2,137.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,318.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,230.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,258.93

Where Iowa 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.

Iowa· 12th of 51

$871

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.