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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls L3675 $113 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton L3675 $155 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy L3675 $250 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha L3675 $250 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee L3675 $250 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee L3675 $250 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette L3675 $250 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc L3675 $250 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay L3675 $250 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee L3675 $250 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids L3675 $306 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, L3675 $306 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau L3675 $306 [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.