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See a sample rate comparisonHCPCS L3675 Fee Schedule
Last Verified: October 2026
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.
Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Shoulder Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | $162.835 median of the 8 states in the free preview · View Medicaid rates for L3675 |
National average reimbursement for HCPCS L3675 by major payers:
$155.63
$102.90
$114.20
$226.43
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HCPCS L3675
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$343.57Published rateIrwin County Hospital
$130.86Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$123.03Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$85.76Published rateAlicia Encinas
Miguel A Arenas Md PC
$57.18Published rate
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See a sample payer proposalHCPCS L3675 vs. Other Shoulder Orthotics Codes
The HCPCS L3675 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 L3675 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 |
|---|---|---|
| L3674-HCPCS | High | Shoulder orthosis (SO), abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
| L3675-HCPCS | Low | Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf |
| L3677-HCPCS | Low | Shoulder orthosis (SO), 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3675. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3675 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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