go back

Other Upper Limb Orthosis

Ohio rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

Facilitymedian $65 · 10th–90th $22$3160%20%40%10th90th$65Professionalmedian $1 · 10th–90th $0$580%20%10th90th$1$0.0$0.1$0.5$2.0$10.0$50.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

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