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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Oregon 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?

$155

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $186 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 8 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 $182
FacilityA hospital or hospital-owned outpatient department$186$170 to $191

How much rates vary

Facilitymedian $186 · 10th to 90th $117 to $214Professionalmedian $112 · 10th to 90th $78 to $209
$100$200$500facility $186professional $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
Professional
Modifier
None
Typical Low
$95.50
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$398.11
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$162.18
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$173.78
Typical High
$190.55
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$186.21
Typical High
$194.98
Providence
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$117.49
Typical High
$190.55
Providence
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$79.43
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$295.12
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$85.11
Typical High
$165.96

Where Oregon 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.

Oregon· 16th of 51

$155

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.