Rotator Cuff Injuries Treatment Coverage with other
Compare other coverage for 3 treatments commonly used for rotator cuff injuries. Find out what's covered, requirements, and estimated costs.
Treatment Options & Coverage
Cortisone Injections
Typically CoveredRequirements: Medical necessity documentation • Diagnosis of joint pain or inflammation
PRP Injections
Typically CoveredRequirements: TRICARE provisional coverage requires medical necessity • VA coverage varies by facility and clinical indication +1 more
Physical Therapy
Typically CoveredRequirements: Referral from provider (TRICARE Prime) • Medical necessity
Coverage Comparison
Side-by-side comparison of other 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 | Required | $500-$2,500 per injection | emerging | |
| Physical Therapy | No | $75-$150 per session (before insurance) | strong |
Recommended Approach
Based on other 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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Coverage varies by plan. Contact other to confirm your specific benefits.
Rotator Cuff Injuries + Other Insurance
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