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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 October 2026.

How much does Shoulder Orthosis (SO), Vest Type Abduction Restrainer cost?

$120

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $120 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$77.62 to $170
FacilityA hospital or hospital-owned outpatient department$120$117 to $195

How much rates vary

Facilitymedian $120 · 10th to 90th $95 to $891Professionalmedian $112 · 10th to 90th $71 to $214
$100$200$500$1Kfacility $120professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$91.20
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
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
$77.62
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$120.23
Typical High
$891.25
Medica
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$123.03
Typical High
$977.24
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$85.11
Typical High
$123.03

Where Oklahoma 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.

Oklahoma· 22nd of 51

$120

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.