go back

Other Upper Limb Orthosis

Hawaii rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

How much does Other Upper Limb Orthosis cost?

$14.13

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $14.13 for this service. Most negotiated rates run $12.59 to $34.67.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $35 · 10th to 90th $35 to $35Professionalmedian $14 · 10th to 90th $12 to $74
$20$50facility $35professional $14

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$14.13

Where Hawaii sits

The same service costs 281838.3 times more in Arkansas than in South Dakota. 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.

Hawaii· 21st of 51

$14.13

AR $331,131SD $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.