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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Massachusetts 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?

$1,096

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,585 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$1,096$617 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,585$1,413 to $1,905

How much rates vary

Facilitymedian $1,585 · 10th to 90th $550 to $2,188Professionalmedian $1,096 · 10th to 90th $550 to $1,230
$100$200$500$1K$2K$5Kfacility $1,585professional $1,096

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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,230.27
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,187.76
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
$741.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,659.59
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$758.58
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,071.52
Typical High
$1,202.26

Where Massachusetts 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.

Massachusetts· 8th of 51

$1,096

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.