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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Virginia 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?

$107

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $191 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 8 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$93.33 to $129
FacilityA hospital or hospital-owned outpatient department$191$126 to $191

How much rates vary

Facilitymedian $191 · 10th to 90th $93 to $240Professionalmedian $98 · 10th to 90th $78 to $182
$100$200$500$1K$2K$5K$10Kfacility $191professional $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
$77.62
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$218.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$239.88
Sentara
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$549.54
Sentara
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$151.36

Where Virginia 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.

Virginia· 28th of 51

$107

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.