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Other Upper Limb Orthosis

Michigan rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $138$1,1480%20%10th90th$479Professionalmedian $107 · 10th–90th $25$1580%10%20%10th90th$107$1.0$5.0$20.0$100.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$281.84
Typical High
$316.23
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43