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Other Upper Limb Orthosis

Ohio rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

How much does Other Upper Limb Orthosis cost?

$5.62

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $1.17 from a physician practice, and about $64.57 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 5 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$1.17$1.17 to $5.62
FacilityA hospital or hospital-owned outpatient department$64.57$28.84 to $316

How much rates vary

Facilitymedian $65 · 10th to 90th $22 to $316Professionalmedian $1 · 10th to 90th $0 to $58
$0.1$1$10$100facility $65professional $1

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
$21.88
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$34.67
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$34.67
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$60.26

Where Ohio 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.

Ohio· 43rd of 51

$5.62

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.