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
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L3675 $150 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L3675 $150 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L3675 $150 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L3675 $150 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L3675 $150 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L3675 $150 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L3675 $150 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L3675 $150 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L3675 $150 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L3675 $150 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L3675 $150 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L3675 $150 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L3675 $186 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Western Massachusetts 222 State St, Ludlow L3675 $227 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L3675 $248 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L3675 $296 [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.