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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Oklahoma 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 $95 · 10th–90th $87$2340%20%10th90th$95Professionalmedian $91 · 10th–90th $58$1700%20%10th90th$91$100.0$200.0$500.0$1.0K

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
$87.10
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$208.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$158.49
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$123.03