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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Missouri 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?

$107

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $155 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$107$100 to $138
FacilityA hospital or hospital-owned outpatient department$155$107 to $195

How much rates vary

Facilitymedian $155 · 10th to 90th $100 to $339Professionalmedian $107 · 10th to 90th $85 to $214
$100$200$500$1Kfacility $155professional $107

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
$100.00
Median
$100.00
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$165.96

Where Missouri 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.

Missouri· 30th of 51

$107

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.