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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Alabama 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 $107 · 10th–90th $65$2000%20%10th90th$107Professionalmedian $107 · 10th–90th $62$1820%20%10th90th$107$0.2$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$134.90