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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 October 2026.

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

$191

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $191 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$135 to $224
FacilityA hospital or hospital-owned outpatient department$191$135 to $468

How much rates vary

Facilitymedian $191 · 10th to 90th $135 to $891Professionalmedian $178 · 10th to 90th $79 to $282
$100$200$500$1K$2Kfacility $191professional $178

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$141.25
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$190.55
Typical High
$295.12
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$660.69
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$234.42
Typical High
$281.84
Health Partners
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$660.69
Typical High
$1,584.89
Health Partners
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Medica
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$194.98
Typical High
$891.25
Medica
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$95.50
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$234.42
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$95.50
Typical High
$186.21

Where Minnesota 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.

Minnesota· 6th of 51

$191

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.