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Upper Extremity Orthosis Addition, Joint

California rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Rates data updated July 2026.

How much does Upper Extremity Orthosis Addition, Joint cost?

$61.66

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$17.78 to $47.86
FacilityA hospital or hospital-owned outpatient department$72.44$61.66 to $100

How much rates vary

Facilitymedian $72 · 10th to 90th $58 to $182Professionalmedian $40 · 10th to 90th $18 to $52
$20$50$100$200facility $72professional $40

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$30.90
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$51.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72

Where California sits

The same service costs 4.3 times more in Ohio than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 2nd of 51

$61.66

OH $75.86SC $17.78

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.