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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Arizona 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?

$85.11

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $200 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$77.62 to $166
FacilityA hospital or hospital-owned outpatient department$200$107 to $339

How much rates vary

Facilitymedian $200 · 10th to 90th $55 to $891Professionalmedian $85 · 10th to 90th $76 to $977
$100$200$500$1Kfacility $200professional $85

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$223.87
Typical High
$338.84
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$165.96
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Medica
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$186.21
Typical High
$891.25
Medica
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$102.33
Typical High
$977.24
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$85.11
Typical High
$128.82

Where Arizona 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.

Arizona· 50th of 51

$85.11

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.