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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

New Hampshire 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?

$115

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $112 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$112$85.11 to $166
FacilityA hospital or hospital-owned outpatient department$191$74.13 to $204

How much rates vary

Facilitymedian $191 · 10th to 90th $62 to $234Professionalmedian $112 · 10th to 90th $74 to $166
$100$200$500facility $191professional $112

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
$61.66
Median
$61.66
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$165.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$269.15

Where New Hampshire 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.

New Hampshire· 16th of 51

$115

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.