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Other Upper Limb Orthosis

Michigan rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

How much does Other Upper Limb Orthosis cost?

$120

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$34.67 to $132
FacilityA hospital or hospital-owned outpatient department$479$138 to $871

How much rates vary

Facilitymedian $479 · 10th to 90th $138 to $1,148Professionalmedian $107 · 10th to 90th $25 to $158
$1$10$100$1Kfacility $479professional $107

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Michigan 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.

Michigan· 5th of 51

$120

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.