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Other Upper Limb Orthosis

Indiana rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

How much does Other Upper Limb Orthosis cost?

$1.35

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $1.35 for this service. Most negotiated rates run $1.17 to $5.62.

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 $14 · 10th to 90th $0 to $41Professionalmedian $1 · 10th to 90th $0 to $6
$0.1$1$10$100$1Kfacility $14professional $1

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
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

Where Indiana 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.

Indiana· 48th of 51

$1.35

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.