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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.

Facilitymedian $170 · 10th–90th $81$9120%20%10th90th$170Professionalmedian $166 · 10th–90th $81$2450%20%40%10th90th$166$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$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