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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 July 2026.

Facilitymedian $65 · 10th–90th $65$1910%50%90th$65Professionalmedian $79 · 10th–90th $65$2510%20%10th90th$79$2.0$10.0$50.0$200.0

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
$56.23
Median
$75.86
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$114.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$190.55