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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Kansas 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 $155 · 10th–90th $55$2240%20%10th90th$155Professionalmedian $214 · 10th–90th $91$2140%50%10th$214$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
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$104.71
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$131.83
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$154.88
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$138.04