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Upper Extremity Orthosis Addition, Joint

Iowa 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?

$17.78

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $17.78 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 7 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$17.78$17.78 to $22.91
FacilityA hospital or hospital-owned outpatient department$17.78$17.78 to $42.66

How much rates vary

Facilitymedian $18 · 10th to 90th $18 to $91Professionalmedian $18 · 10th to 90th $18 to $23
$20$50$100facility $18professional $18

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
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$50.12
Typical High
$114.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$46.77
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$91.20
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$95.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$79.43

Where Iowa 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.

Iowa· 38th of 51

$17.78

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.