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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Minnesota 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?

$191

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $331 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$191$155 to $191
FacilityA hospital or hospital-owned outpatient department$331$191 to $724

How much rates vary

Facilitymedian $331 · 10th to 90th $166 to $1,585Professionalmedian $191 · 10th to 90th $112 to $224
$100$200$500$1K$2Kfacility $331professional $191

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$281.84
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,584.89
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$302.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$190.55
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$85.11
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$269.15

Where Minnesota 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.

Minnesota· 4th of 51

$191

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.