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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 July 2026.

Facilitymedian $182 · 10th–90th $141$1950%50%10th90th$182Professionalmedian $135 · 10th–90th $55$2090%20%10th90th$135$0.2$2.0$20.0$200.0$2.0K

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
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$380.19
Typical High
$457.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$204.17
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$741.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$85.11
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$162.18