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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Delaware 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 $91 · 10th–90th $0$1550%20%10th90th$91Professionalmedian $85 · 10th–90th $78$7240%20%40%10th90th$85$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$724.44
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
$154.88
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$85.11
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$141.25