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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Florida 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 $102 · 10th–90th $83$3630%20%40%10th90th$102Professionalmedian $98 · 10th–90th $79$1700%20%40%10th90th$98$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
$83.18
Median
$93.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
AvMed
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
AvMed
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$117.49
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$128.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$199.53