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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Georgia 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?

$162

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$110 to $234
FacilityA hospital or hospital-owned outpatient department$200$107 to $676

How much rates vary

Facilitymedian $200 · 10th to 90th $107 to $724Professionalmedian $162 · 10th to 90th $93 to $427
$100$200$500$1Kfacility $200professional $162

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
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$114.82
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$676.08
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$169.82
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$10.72
Median
$23.44
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$79.43
Median
$173.78
Typical High
$794.33
CareSource
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
CareSource
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$199.53
Typical High
$281.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$263.03
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$95.50
Typical High
$245.47

Where Georgia 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.

Georgia· 14th of 51

$162

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.