Code: L3675

Description:
Description: Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC SO VEST ABDUCT RESTRNER CANVAS WEB TYPE/=PRFAB
SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB
Immob Shldr Male+AC0-Lg
Immob Shldr Male+AC0-XL
Related codes:
Code: L3670
SLING ULTRA LG DONJOY
Code: L3671
SHLDR ORTHO WO JTS CF
Code: L3672
SHOULDER ORTHOTIC W/O JOINTS CUSTOM FAB
Code: L3673
SO INCL NONTORSION JOINT/TURNBUCKLE CSTM FAB
Code: L3674
SHLDR ORTHO W/WO JTS CF
Code: L3677
IMOB ORTH LT SHLDR OTHS
Code: L3678
Description: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L3675 $307 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L3675 $307 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L3675 $307 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L3675 $307 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L3675 $307 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L3675 $307 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L3675 $307 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L3675 $307 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L3675 $307 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L3675 $307 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L3675 $307 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L3675 $307 [source] 4 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh L3675 $380 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L3675 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L3675 $6,012 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.