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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Maine 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?

$115

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $219 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 6 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$115$89.13 to $166
FacilityA hospital or hospital-owned outpatient department$219$132 to $224

How much rates vary

Facilitymedian $219 · 10th to 90th $107 to $240Professionalmedian $115 · 10th to 90th $62 to $166
$100.0$200.0$500.0$1.0Kfacility $219professional $115

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$134.90
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
$107.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$194.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$109.65
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$165.96

Where Maine sits

The same service costs 3.5 times more in Kansas than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $115 · 19th of 51
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.