go back

Shoulder Orthosis (SO), without Joints, Off-the-Shelf

Iowa rates for HCPCS L3678

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Shoulder Orthosis (SO), without Joints, Off-the-Shelf cost?

$97.72

Typical negotiated rate. In Iowa, 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 $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 5 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$97.72 to $97.72
FacilityA hospital or hospital-owned outpatient department$97.72$95.50 to $97.72

How much rates vary

Facilitymedian $98 · 10th to 90th $68 to $148Professionalmedian $98 · 10th to 90th $87 to $98
$100$200facility $98professional $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
$67.61
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$95.50
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$165.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$288.40
Typical High
$338.84

Where Iowa sits

The same service costs 8.3 times more in Kansas than in California. 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.

Iowa· 4th of 51

$97.72

KS $331CA $39.81

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.