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Other Upper Limb Orthosis

Arizona rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $13$1000%5%10%10th90th$51Professionalmedian $14 · 10th–90th $1$4270%10%10th90th$14$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$426.58
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$51.29
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$112.20