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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Colorado 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 $138 · 10th–90th $55$2630%10%20%10th90th$138Professionalmedian $107 · 10th–90th $78$1450%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
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$181.97
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
$177.83
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$138.04
Typical High
$245.47
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$416.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$128.82