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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Montana 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?

$182

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $191 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$166$85.11 to $191
FacilityA hospital or hospital-owned outpatient department$191$148 to $204

How much rates vary

Facilitymedian $191 · 10th to 90th $120 to $240Professionalmedian $166 · 10th to 90th $65 to $240
$100.0$200.0$500.0facility $191professional $166

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
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$204.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$234.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$91.20
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$131.83

Where Montana 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.

Montana $182 · 5th 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.