go back

Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Minnesota 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?

$1,288

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $2,344 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 6 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$1,288$1,047 to $1,288
FacilityA hospital or hospital-owned outpatient department$2,344$1,288 to $4,898

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,122 to $10,471Professionalmedian $1,288 · 10th to 90th $813 to $1,514
$500$1K$2K$5K$10Kfacility $2,344professional $1,288

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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,288.25
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,897.79
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,698.24
Typical High
$1,905.46
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,370.32
Typical High
$10,471.29
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$575.44
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,819.70

Where Minnesota 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.

Minnesota· 2nd of 51

$1,288

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.