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Other Upper Limb Orthosis

Arizona rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated October 2026.

How much does Other Upper Limb Orthosis cost?

$23.44

Typical facility fee. In Arizona, October 2026.

Insurers have agreed to pay about $23.44 for this service. Most negotiated rates run $5.62 to $42.66.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $55 · 10th to 90th $12 to $98Professionalmedian $6 · 10th to 90th $1 to $51
$2$5$10$20$50$100facility $55professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$54.95
Typical High
$83.18
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$1.17
Typical High
$5.62
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$112.20

Where Arizona sits

The same service costs 426.6 times more in Georgia than in Rhode Island. 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.

Arizona· 9th of 51

$23.44

GA $501RI $1.17

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.