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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Louisiana 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?

$724

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $1,072 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$708$603 to $891
FacilityA hospital or hospital-owned outpatient department$1,072$741 to $1,738

How much rates vary

Facilitymedian $1,072 · 10th to 90th $692 to $2,344Professionalmedian $708 · 10th to 90th $537 to $955
$50$100$200$500$1K$2Kfacility $1,072professional $708

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
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$870.96

Where Louisiana 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.

Louisiana· 27th of 51

$724

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.