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Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment cost in Ohio

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Cash from
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Cash range · 0 distinct prices
$522
Insurer rates from
17
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
LUTHERAN HOSPITALCleveland—$522Jun 2026123 days old
Fairview HospitalCleveland—$549Jun 2026123 days old
The Cleveland Clinic FoundationBrunswick—$670Jun 2026122 days old
Metrohealth SystemCleveland—$1,023Apr 2026198 days old
Bethesda Hospital Inc.Lebanon—$1,879Apr 2026198 days old
Greene Memorial Hospital IncXenia—$1,879Apr 2026198 days old
Kettering Medical Center 2 locations · one published priceDayton, Miamisburg—$1,879Apr 2026198 days old
McCullough-Hyde Memorial Hospital, Inc.Oxford—$1,879Apr 2026198 days old
Beavercreek Medical CenterDayton—$1,879Apr 2026198 days old
Berger HospitalCircleville—$1,879Apr 2026198 days old
Fort Hamilton HospitalHamilton—$1,879Apr 2026198 days old
Dayton Osteopathic HospitalDayton—$1,879Apr 2026198 days old
Clinton Memorial HospitalWilmington—$1,879Apr 2026198 days old
The Good Samaritan Hospital of Cincinnati, OHCincinnati—$1,879Apr 2026198 days old
Riverside Methodist HospitalColumbus—$1,879Apr 2026198 days old
Marion General HospitalMarion—$1,879Apr 2026198 days old
Where this procedure name comes from

This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.

What the hospitals published for this code, in their own words:

  • Beavercreek Medical CenterSewhfo cap design w/o jnt cf
  • Berger HospitalSewhfo cap design w/o jnt cf
  • Bethesda Hospital Inc.Sewhfo cap design w/o jnt cf
  • Clinton Memorial HospitalSewhfo cap design w/o jnt cf
  • Dayton Osteopathic HospitalSewhfo cap design w/o jnt cf
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMELSewhfo Cap Design WO Jnts Custom Fabricated Includ
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTSewhfo Cap Design WO Jnts Custom Fabricated Includ
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERSewhfo Cap Design WO Jnts Custom Fabricated Includ
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLISSewhfo Cap Design WO Jnts Custom Fabricated Includ
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTESewhfo Cap Design WO Jnts Custom Fabricated Includ

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