go back

Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Alaska rates for HCPCS L3675

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

Rates data updated October 2026.

How much does Shoulder Orthosis (SO), Vest Type Abduction Restrainer cost?

$182

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $182 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$148 to $182
FacilityA hospital or hospital-owned outpatient department$182$120 to $182

How much rates vary

Facilitymedian $182 · 10th to 90th $107 to $229Professionalmedian $182 · 10th to 90th $93 to $209
$100$200$500facility $182professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$181.97
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$181.97
Typical High
$213.80
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$190.55
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$181.97
Typical High
$186.21
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$165.96
Median
$181.97
Typical High
$181.97
Providence
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$107.15
Typical High
$229.09
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$107.15
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$128.82
Typical High
$467.74

Where Alaska sits

The same service costs 2.6 times more in Kansas than in Delaware. 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.

Alaska· 10th of 51

$182

KS $204DE $77.62

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.