Rotator Cuff Injuries × private
Rotator Cuff Injuries Treatment Coverage with private
Compare private coverage for 3 treatments commonly used for rotator cuff injuries. Find out what's covered, requirements, and estimated costs.
2 Covered
1 Not Covered
Treatment Options & Coverage
Cortisone Injections
Typically Covered $100-$300 per injection (with insurance copay typically $20-$50)
Requirements: Medical necessity documentation • In-network Kaiser provider
PRP Injections
Not Covered $500-$2,500 per injection
Physical Therapy
Typically Covered $75-$150 per session (before insurance)
Requirements: Kaiser-employed or contracted PT • Referral from primary care physician
Coverage Comparison
Side-by-side comparison of private coverage for rotator cuff injuries treatments.
| Treatment | Covered? | Prior Auth | Est. Cost | Evidence |
|---|---|---|---|---|
| Cortisone Injections | No | $100-$300 per injection (with insurance copay typically $20-$50) | strong | |
| PRP Injections | No | $500-$2,500 per injection | emerging | |
| Physical Therapy | No | $75-$150 per session (before insurance) | strong |
Recommended Approach
Based on private coverage for rotator cuff injuries, we recommend:
- 1 Start with covered conservative options (physical therapy, oral medications)
- 2 If insufficient relief, progress to injection therapies
- 3 Document treatment history for any prior authorization requirements
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Rotator Cuff Injuries + Other Insurance
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