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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Massachusetts 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.

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

$166

Typical negotiated rate. In Massachusetts, July 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 $170 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$91.20 to $166
FacilityA hospital or hospital-owned outpatient department$170$81.28 to $234

How much rates vary

Facilitymedian $170 · 10th to 90th $81 to $912Professionalmedian $166 · 10th to 90th $81 to $245
$1$10$100$1K$10Kfacility $170professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$257.04
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$912.01
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$154.88
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$245.47
Health New England
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$912.01
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$177.83

Where Massachusetts sits

The same service costs 3.5 times more in Kansas than in Vermont. 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.

Massachusetts· 9th of 51

$166

KS $214VT $61.66

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.