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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Michigan 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?

$155

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $324 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$110 to $191
FacilityA hospital or hospital-owned outpatient department$324$110 to $575

How much rates vary

Facilitymedian $324 · 10th to 90th $107 to $851Professionalmedian $155 · 10th to 90th $89 to $195
$100$200$500$1Kfacility $324professional $155

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
$112.20
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$190.55
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$575.44
Typical High
$1,071.52
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$190.55
Typical High
$190.55
BCBS Michigan
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
CareSource
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$107.15
Typical High
$213.80
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$371.54
Typical High
$407.38
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$151.36
Typical High
$194.98
Priority Health
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$120.23
Priority Health
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$107.15
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$234.42
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$91.20
Typical High
$131.83

Where Michigan 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.

Michigan· 15th of 51

$155

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.