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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Illinois 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?

$141

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $269 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$100 to $148
FacilityA hospital or hospital-owned outpatient department$269$229 to $479

How much rates vary

Facilitymedian $269 · 10th to 90th $107 to $1,122Professionalmedian $126 · 10th to 90th $89 to $195
$100$200$500$1K$2Kfacility $269professional $126

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
$64.57
Median
$100.00
Typical High
$194.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$154.88
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$323.59
Typical High
$1,318.26
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$204.17
Typical High
$269.15
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Molina
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$162.18
United
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$95.50
Typical High
$223.87

Where Illinois 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.

Illinois· 19th of 51

$141

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.