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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Maryland 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?

$617

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $513 to $724.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $676 · 10th to 90th $437 to $1,288Professionalmedian $617 · 10th to 90th $513 to $1,072
$500$1K$2K$5Kfacility $676professional $617

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
$512.86
Median
$549.54
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$891.25
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$1,023.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$776.25

Where Maryland 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.

Maryland· 45th of 51

$617

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.