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

Michigan

Hospital	Address	Code	Price	Last Updated
Mclaren Flint	401 S Ballenger Hwy, Flint	L3675	$274 [source]	4 years ago
Up Health System – Marquette	580 West College Avenue, Marquette	L3675	$341 [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 §180.