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Upper Extremity Orthosis Addition, Joint

Pennsylvania 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 Pennsylvania, 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 6 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 $23.44
FacilityA hospital or hospital-owned outpatient department$17.78$17.78 to $67.61

How much rates vary

Facilitymedian $18 · 10th to 90th $18 to $68Professionalmedian $18 · 10th to 90th $18 to $48
$10$100$1K$10Kfacility $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
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$47.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$67.61
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Pennsylvania 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.

Pennsylvania· 30th 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.