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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

West 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?

$93.33

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $97.72 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 4 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$93.33$91.20 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$97.72 to $97.72

How much rates vary

Facilitymedian $98 · 10th to 90th $98 to $263Professionalmedian $93 · 10th to 90th $78 to $132
$100$200$500$1Kfacility $98professional $93

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$97.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$154.88

Where West 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.

West Virginia· 37th of 51

$93.33

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.