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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 July 2026.

Facilitymedian $65 · 10th–90th $65$1910%50%90th$65Professionalmedian $85 · 10th–90th $55$1860%10%20%10th90th$85$100.0$200.0$500.0

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
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$181.97