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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

North Dakota 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.

Facilitymedian $141 · 10th–90th $135$2750%50%10th90th$141Professionalmedian $182 · 10th–90th $78$2340%20%10th90th$182$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$134.90
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$131.83
Typical High
$223.87