go back

Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Nevada 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?

$100

Typical negotiated rate. In Nevada, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $191 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$77.62 to $148
FacilityA hospital or hospital-owned outpatient department$191$107 to $200

How much rates vary

Facilitymedian $191 · 10th to 90th $74 to $269Professionalmedian $93 · 10th to 90th $65 to $191
$100$200$500$1K$2Kfacility $191professional $93

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
$57.54
Median
$64.57
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$199.53
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$173.78
Typical High
$323.59
Select Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$173.78
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$123.03
Typical High
$190.55
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$104.71
Median
$109.65
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where Nevada 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.

Nevada· 43rd of 51

$100

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.