Shoulder abduction restraint vest, prefabricated

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Shoulder Stabilizer Med

Payers reporting HCPCS L3675

Payer pricing summary

Low

$50

Average

$258

Median

$225

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	387	$199	$219	$148	68%	—	$1 – $1.5k
2	Aetna fee schedule · outpatient · +19 other terms	373	$198	$227	$111	49%	—	$8 – $1.3k
3	Humana fee schedule · outpatient · +20 other terms	327	$196	$289	$313	108%	—	$37 – $1.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	230	$201	$256	$134	52%	—	$0 – $951
5	WellCare fee schedule · outpatient · +9 other terms	208	$203	$209	$31	15%	—	$188 – $374
6	Devoted fee schedule · outpatient · +7 other terms	165	$197	$198	$5	2%	—	$191 – $238
7	Molina fee schedule · outpatient · +11 other terms	143	$279	$268	$102	38%	—	$120 – $517
8	Cigna fee schedule · outpatient · +17 other terms	116	$203	$252	$177	70%	—	$29 – $1.6k
9	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$201	$201	$7	3%	—	$197 – $241
10	Anthem fee schedule · outpatient · +17 other terms	84	$195	$269	$254	94%	—	$114 – $1.5k
11	Kaiser fee schedule · outpatient · +11 other terms	66	$202	$312	$220	71%	—	$126 – $1.4k
12	Caresource fee schedule · outpatient · +6 other terms	41	$197	$197	$38	19%	—	$108 – $303
13	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$207	$207	$1	0%	—	$193 – $207
14	Clover fee schedule · outpatient · +3 other terms	37	$197	$199	$11	5%	—	$188 – $234
15	Oscar fee schedule · outpatient · +9 other terms	36	$207	$228	$48	21%	—	$193 – $332
16	Ambetter facility · fee schedule · outpatient · +9 other terms	35	$353	$365	$94	26%	—	$142 – $493
17	Optum fee schedule · outpatient · +9 other terms	35	$197	$254	$103	40%	—	$189 – $493
18	Medica facility · fee schedule · outpatient · +11 other terms	22	$201	$182	$46	25%	—	$65 – $325
19	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$237	$230	$13	6%	—	$195 – $237
20	Bcbs Tx fee schedule · outpatient	18	$193	$193	—	—	—	$193 – $193
21	Medicare fee schedule · outpatient · +2 other terms	18	$191	$191	$1	1%	—	$191 – $195
22	Regence facility · fee schedule · outpatient · +7 other terms	17	$206	$200	$15	8%	—	$160 – $210
23	Medical Mutual facility · fee schedule · outpatient · +5 other terms	15	$196	$226	$56	25%	—	$107 – $310
24	Bcbs Mn fee schedule · outpatient · +8 other terms	13	$179	$178	$41	23%	—	$87 – $209
25	Wellmark fee schedule · both · +4 other terms	13	$182	$181	$6	3%	—	$143 – $182

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