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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Idaho 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?

$166

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $182 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$126 to $200
FacilityA hospital or hospital-owned outpatient department$182$158 to $234

How much rates vary

Facilitymedian $182 · 10th to 90th $107 to $302Professionalmedian $166 · 10th to 90th $78 to $240
$50$200$1K$5Kfacility $182professional $166

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
Professional
Modifier
None
Typical Low
$125.89
Median
$165.96
Typical High
$165.96
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$181.97
Typical High
$302.00
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$199.53
Typical High
$208.93
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$125.89
Median
$141.25
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Moda Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$165.96
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$173.78
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$138.04
Typical High
$162.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$239.88
Typical High
$11,481.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$13,489.63
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$181.97
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$199.53
Select Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$245.47
Select Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$85.11
Typical High
$128.82

Where Idaho 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.

Idaho· 11th of 51

$166

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.