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Other Upper Limb Orthosis

New York rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $0$50,1190%50%10th90th$257Professionalmedian $6 · 10th–90th $1$560%20%10th90th$6$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$63.10
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
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10