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Other Upper Limb Orthosis

North Carolina rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $105$1780%50%10th90th$166Professionalmedian $22 · 10th–90th $1$4270%50%10th90th$22$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$426.58
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
Medcost
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$112.20