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Shoulder Orthosis (SO), Airplane Design, Custom Fabricated

Virginia 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?

$759

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,288 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$631 to $851
FacilityA hospital or hospital-owned outpatient department$1,288$871 to $1,288

How much rates vary

Facilitymedian $1,288 · 10th to 90th $631 to $1,380Professionalmedian $692 · 10th to 90th $525 to $1,230
$500$1K$2Kfacility $1,288professional $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
$512.86
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,584.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,412.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,621.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,778.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$1,047.13

Where Virginia 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.

Virginia· 20th of 51

$759

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.