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Other Upper Limb Orthosis

Indiana rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $0$410%20%40%10th90th$14Professionalmedian $1 · 10th–90th $0$60%20%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$40.74
Typical High
$40.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$1.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$14.79
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$2.88
Typical High
$5.62