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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

South Carolina 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?

$97.72

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $115 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 6 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$97.72$91.20 to $170
FacilityA hospital or hospital-owned outpatient department$115$95.50 to $178

How much rates vary

Facilitymedian $115 · 10th to 90th $91 to $245Professionalmedian $98 · 10th to 90th $81 to $170
$100$200$500facility $115professional $98

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$107.15
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$112.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$302.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$128.82

Where South Carolina sits

The same service costs 3.5 times more in Kansas than in Vermont. 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.

South Carolina· 35th of 51

$97.72

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.