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Other Upper Limb Orthosis

Missouri rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

How much does Other Upper Limb Orthosis cost?

$14.45

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $112 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 4 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$6.17$5.62 to $28.18
FacilityA hospital or hospital-owned outpatient department$112$100 to $141

How much rates vary

Facilitymedian $112 · 10th to 90th $100 to $141Professionalmedian $6 · 10th to 90th $1 to $427
$2$5$10$20$50$100$200facility $112professional $6

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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$14.45
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$35.48
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
$5.25
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where Missouri 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.

Missouri· 15th of 51

$14.45

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.