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Other Upper Limb Orthosis

Georgia rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated October 2026.

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $501 · 10th to 90th $1 to $2,512
$1$10$100$1Kfacility $35professional $501

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

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$891.25
Typical High
$891.25