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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

New Jersey rates for HCPCS L3675

Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

Rates data updated October 2026.

How much does Shoulder Orthosis (SO), Vest Type Abduction Restrainer cost?

$93.33

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $107 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$74.13 to $191
FacilityA hospital or hospital-owned outpatient department$107$107 to $155

How much rates vary

Facilitymedian $107 · 10th to 90th $65 to $191Professionalmedian $91 · 10th to 90th $65 to $191
$100$200facility $107professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$81.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$251.19
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$100.00
Typical High
$181.97

Where New Jersey sits

The same service costs 2.6 times more in Kansas than in Delaware. 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 Jersey· 49th of 51

$93.33

KS $204DE $77.62

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.