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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Kentucky 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?

$95.50

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $120 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$93.33$91.20 to $110
FacilityA hospital or hospital-owned outpatient department$120$107 to $200

How much rates vary

Facilitymedian $120 · 10th to 90th $102 to $269Professionalmedian $93 · 10th to 90th $83 to $158
$100$200$500$1Kfacility $120professional $93

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
$63.10
Median
$102.33
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$102.33
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$199.53
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$93.33
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
CareSource
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$173.78
Typical High
$281.84
CareSource
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$239.88
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$120.23
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$107.15
Typical High
$954.99
Molina
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$147.91
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$87.10
Typical High
$128.82

Where Kentucky 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.

Kentucky· 46th of 51

$95.50

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.