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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Ohio 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?

$107

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $204 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 9 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$102$93.33 to $135
FacilityA hospital or hospital-owned outpatient department$204$148 to $229

How much rates vary

Facilitymedian $204 · 10th to 90th $102 to $372Professionalmedian $102 · 10th to 90th $78 to $214
$1.0$10.0$100.0$1.0Kfacility $204professional $102

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
$102.33
Median
$147.91
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$102.33
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$257.04
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$165.96
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$138.04
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$194.98
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$158.49
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$138.04

Where Ohio sits

The same service costs 3.5 times more in Kansas than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $107 · 25th of 51
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.