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Other Upper Limb Orthosis

Missouri rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $112 · 10th–90th $100$1410%20%40%10th90th$112Professionalmedian $6 · 10th–90th $1$4270%20%10th90th$6$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

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