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Upper Extremity Orthosis Addition, Joint

Massachusetts 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?

$42.66

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $42.66 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$42.66$17.78 to $47.86
FacilityA hospital or hospital-owned outpatient department$42.66$42.66 to $83.18

How much rates vary

Facilitymedian $43 · 10th to 90th $43 to $4,898Professionalmedian $43 · 10th to 90th $18 to $52
$100$1K$10Kfacility $43professional $43

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
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$42.66
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Health New England
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Massachusetts 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.

Massachusetts· 11th of 51

$42.66

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.