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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $692 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 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$692$589 to $851
FacilityA hospital or hospital-owned outpatient department$1,318$1,047 to $1,445

How much rates vary

Facilitymedian $1,318 · 10th to 90th $692 to $2,239Professionalmedian $692 · 10th to 90th $525 to $1,318
$500$1K$2Kfacility $1,318professional $692

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
$691.83
Median
$1,000.00
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,698.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,548.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,288.25
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,047.13
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$933.25

Where Ohio 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.

Ohio· 28th 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.