Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC SO FIGURE 8 ABDUCTION RESTRAINER PREFAB
Edina, MN
See all hospitals reporting HCPCS L3650 →Price type
Fairview Health Services’s median price of $136 is 92% above the median hospital's median price ($71), higher than 91% of the 1,510 hospitals reporting HCPCS L3650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 43 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Bcbs Mn aware federal fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 4 | Medica managed medicaid/accessability fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 7 | WellCare medicare advantage fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 11 | Ucare pmap fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 12 | Medica medicare advantage non-snp fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 13 | Bcbs Mn pmap fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 17 | Ucare pmap fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 19 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 20 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 21 | UnitedHealthcare core percent of total billed charges · inpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 22 | UnitedHealthcare core percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 23 | Medica msho/medicare advantage snp fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 24 | UnitedHealthcare commercial fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 25 | UnitedHealthcare core fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
Last updated: Feb 6, 2026
See Prefabricated figure-eight shoulder abduction brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.