Code: L3677

Description:

Description: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures

Other Descriptions:

SO HARD PLASTIC STABILIZER

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: L3675

VEST ABDCT CNVS WB

Code: L3678

Description: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures

State	Average	# Hospitals In Database
Michigan (MI)	$46	1
Nevada (NV)	$59	1
Wisconsin (WI)	$106	2
New York (NY)	$125	1
Kansas (KS)	$131	3
Florida (FL)	$1,005	2
South Carolina (SC)	$9,482	2

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.