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Other Upper Limb Orthosis

Minnesota rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $47 · 10th–90th $31$1000%10%20%10th90th$47Professionalmedian $14 · 10th–90th $4$140%50%10th$14$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$100.00
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$30.20
Typical High
$281.84