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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Nebraska 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?

$603

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,318 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$603$603 to $692
FacilityA hospital or hospital-owned outpatient department$1,318$832 to $1,445

How much rates vary

Facilitymedian $1,318 · 10th to 90th $617 to $6,026Professionalmedian $603 · 10th to 90th $490 to $1,072
$500$1K$2K$5Kfacility $1,318professional $603

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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,412.54
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$3,467.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,235.94
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,318.26
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,000.00

Where Nebraska 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.

Nebraska· 48th of 51

$603

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.