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
Oklahoma
Hospital Address Code Price Last Updated
St. John Owasso 12451 E 100Th St N, Owasso L3675 $104 [source] 4 years ago
St. John Medical Center 1923 S Utica Ave, Tulsa L3675 $104 [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.