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Other Upper Limb Orthosis

Texas rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Rates data updated October 2026.

How much does Other Upper Limb Orthosis cost?

$5.62

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $81.28 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.62$1.17 to $5.62
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $81.28

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $81Professionalmedian $6 · 10th to 90th $1 to $6
$2$5$10$20$50facility $81professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Christus
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Christus
Setting
Professional
Modifier
26 · Professional part
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Moda Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$30.20
Typical High
$81.28
Providence
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Providence
Setting
Professional
Modifier
None (both parts)
Typical Low
$1.17
Median
$5.62
Typical High
$5.62
Wellpoint
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89

Where Texas sits

The same service costs 426.6 times more in Georgia than in Rhode Island. 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.

Texas· 27th of 51

$5.62

GA $501RI $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.