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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Nebraska 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?

$89.13

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $195 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 7 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$89.13$74.13 to $89.13
FacilityA hospital or hospital-owned outpatient department$195$123 to $214

How much rates vary

Facilitymedian $195 · 10th to 90th $85 to $891Professionalmedian $89 · 10th to 90th $55 to $178
$100$200$500$1Kfacility $195professional $89

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$123.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$512.86
Midlands
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$478.63
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$194.98
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$151.36

Where Nebraska 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.

Nebraska· 44th of 51

$89.13

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.