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Other Upper Limb Orthosis

Michigan rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated October 2026.

How much does Other Upper Limb Orthosis cost?

$126

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $525 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$107 to $141
FacilityA hospital or hospital-owned outpatient department$525$295 to $891

How much rates vary

Facilitymedian $525 · 10th to 90th $138 to $1,230Professionalmedian $120 · 10th to 90th $105 to $151
$1$10$100$1Kfacility $525professional $120

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

Rates by insurance carrier

Insurance Carrier
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$724.44
Typical High
$1,380.38
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
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$316.23
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$123.03
Typical High
$151.36
Priority Health
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Priority Health
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$5.62
Typical High
$34.67

Where Michigan sits

The same service costs 426.6 times more in Georgia than in Rhode Island. 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.

Michigan· 2nd of 51

$126

GA $501RI $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.