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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 October 2026.

How much does Shoulder Orthosis (SO), Vest Type Abduction Restrainer cost?

$204

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $204 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$95.50 to $214
FacilityA hospital or hospital-owned outpatient department$204$200 to $214

How much rates vary

Facilitymedian $204 · 10th to 90th $148 to $214Professionalmedian $166 · 10th to 90th $78 to $214
$100$200$500$1Kfacility $204professional $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
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$165.96
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$213.80
Typical High
$213.80
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Medica
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$158.49
Typical High
$891.25
Medica
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$102.33
Typical High
$977.24
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$95.50
Typical High
$125.89

Where Kansas 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.

Kansas· 1st of 51

$204

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.