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Other Upper Limb Orthosis

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $14.45 for this service. Most negotiated rates run $14.45 to $60.26.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $14 · 10th to 90th $14 to $79
$2$5$10$20$50professional $14

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
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$5.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11

Where Montana 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.

Montana· 16th 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.