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Oregon rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Facilitymedian $1,096 · 10th–90th $1,096–$1,0960%50%100%$1,096Professionalmedian $6 · 10th–90th $1–$4270%20%10th90th$6$2.0$10.0$50.0$200.0$1.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $57.54 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $5.62 / $5.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $426.58
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $5.62 / $70.79