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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 October 2026.

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

$77.62

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $77.62 to $105.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $78 to $269Professionalmedian $78 · 10th to 90th $78 to $141
$100$200facility $107professional $78

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$112.20
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$141.25
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$93.33
Typical High
$141.25

Where Delaware 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.

Delaware· 51st of 51

$77.62

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.