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Shoulder Orthosis (SO), Vest Type Abduction Restrainer

Wyoming 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?

$110

Typical negotiated rate. In Wyoming, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $95.50 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$110$85.11 to $191
FacilityA hospital or hospital-owned outpatient department$95.50$85.11 to $191

How much rates vary

Facilitymedian $95 · 10th to 90th $85 to $191Professionalmedian $110 · 10th to 90th $74 to $191
$100.0$200.0$500.0facility $95professional $110

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
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
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
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$131.83

Where Wyoming sits

The same service costs 3.5 times more in Kansas than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wyoming $110 · 23rd of 51
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.