go back

Shoulder Orthosis (SO), Vest Type Abduction Restrainer

South Dakota 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?

$166

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $182 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 7 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$166$132 to $224
FacilityA hospital or hospital-owned outpatient department$182$141 to $214

How much rates vary

Facilitymedian $182 · 10th to 90th $107 to $263Professionalmedian $166 · 10th to 90th $120 to $282
$100$200$500$1Kfacility $182professional $166

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$208.93
Midlands
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$346.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21

Where South Dakota 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 Dakota· 7th of 51

$166

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.