HCPCS L3675
Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $195 – $207 | $97.60 | $244 |
| Deaconess Medical Center | $173 – $178 | $97.60 | $244 |
| Harborview Medical Center | — | $168 | $239 |
| Mary Bridge Children's Hospital | $160 – $195 | $97.60 | $244 |
| MultiCare Auburn Medical Center | $144 – $178 | $97.60 | $244 |
| MultiCare Covington Medical Center | $144 – $178 | $97.60 | $244 |
| MultiCare Good Samaritan Hospital | $144 – $178 | $97.60 | $244 |
| MultiCare Valley Hospital | $176 | $97.60 | $244 |
| Overlake Hospital Medical Center & Clinics | — | $7.62 – $45.66 | $15.23 – $91.32 |
| Tacoma General Allenmore Hospital | $144 – $178 | $97.60 | $244 |
| Yakima Valley Memorial | $137 | $97.60 | $244 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $192 (fee)