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Other Upper Limb Orthosis

Pennsylvania rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated July 2026.

How much does Other Upper Limb Orthosis cost?

$14.45

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $3,388 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 6 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$5.62$1.17 to $95.50
FacilityA hospital or hospital-owned outpatient department$3,388$112 to $3,388

How much rates vary

Facilitymedian $3,388 · 10th to 90th $62 to $3,388Professionalmedian $6 · 10th to 90th $1 to $64,565
$1$10$100$1K$10Kfacility $3,388professional $6

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.94
Typical High
$7.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$3,388.44
Typical High
$3,388.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$95.50
Typical High
$134.90
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$123.03

Where Pennsylvania 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.

Pennsylvania· 18th of 51

$14.45

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.