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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Idaho 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?

$955

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,230 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$912$550 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,230$1,047 to $1,230

How much rates vary

Facilitymedian $1,230 · 10th to 90th $724 to $1,413Professionalmedian $912 · 10th to 90th $513 to $1,413
$50$100$200$500$1K$2Kfacility $1,230professional $912

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
$758.58
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$724.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$1,412.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,230.27
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,412.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,311.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$660.69
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$870.96

Where Idaho 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.

Idaho· 11th of 51

$955

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.