HCPCS L3670 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Orthotic Procedures and services • Shoulder Orthotics |
| Complexity Level | Low |
National average reimbursement for HCPCS L3670 by major payers:
$110.87
$77.37
$86.14
$145.38
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS L3670 | ||||||
United | L3670 | $75.50 | 1962690487 - GREGORY SAMSON | 590714812 - LEE MEMORIAL HEALTH SYSTEM | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $78.79 | 1093004061 - JOHN ADAMS | 472294513 - (FL) FLORIDA PAIN RELIEF GROUP PLLC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $62.18 | 1407989973 - LISA MERRITT | 943302014 | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $78.79 | 1467564732 - DAVID PITTS | 872777523 - (FL) COLLIER REHAB LLC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $77.15 | 1093964819 - GUALBERTO OQUENDO | 260212222 - (FL) MARGARITA CORREA LLC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $67.44 | 1568596633 - MICHAEL APRIL | 30432841 - (MD) MICHAEL APRIL MD INC. | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $71.13 | 1699910950 - AARON MARTIN | 593120987 - (FL) JACKSONVILLE ORTHOPAEDIC INSTITUTE, INC. | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $74.98 | 1457390098 - GARY JETT | 821140575 | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $74.16 | 1891101135 - DANIEL MARIN MD PA | 471238571 - (FL) DANIEL MARIN MD PA | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $78.79 | 1285776971 - DIANA HUSSAIN | 862298131 - (FL) FLORIDA WELLNESS REGENERATIVE MEDICINE LLC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $78.79 | 1629004429 - JOSE RESTREPO | 205155995 | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $75.50 | 1144273723 - PALLAVI CHERUKUPALLY | 814786828 - (FL) REGENERATIVE SPORT SPINE AND SPA | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $81.22 | 1053554311 - KAMI STRONG | 593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $52.52 | 1538555263 - CRISTINA DICKSON | 650512900 - SMH PHYSICIAN SERVICES INC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | L3670 | $52.52 | 1548793326 - RYAN HAFNER | 650512900 - SMH PHYSICIAN SERVICES INC | FL | Physical Medicine & Rehabilitation Physician (208100000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS L3670 vs. Other Shoulder Orthotics Codes
The HCPCS L3670 code is part of the Orthotic Procedures and services services used for Shoulder Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L3670 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L3660-HCPCS | Low | Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
| L3670-HCPCS | Low | Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
| L3671-HCPCS | Moderate | Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3670 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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