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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Nationwide rates for HCPCS L3675

Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $145 · 10th–90th $79$4570%20%10th90th$145Professionalmedian $107 · 10th–90th $78$2140%20%10th90th$107$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$173.78